| NPI | 1346368115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M LOCKE Billing Administrator 423-224-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-04-22 |