| NPI | 1356234272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A MULLINS Practice Manager 423-839-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |