NPI | 1346963444 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID R KRAGEL Owner/Authorized Official 423-586-6263 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-09-22 |
Last Update Date | 2024-05-22 |