| NPI | 1346250057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WILEY Medical Director 423-308-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0008X Internal Medicine, Hepatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207ZD0900X Pathology, Dermatopathology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208000000X Pediatrics | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-08-12 |