| NPI | 1356446298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R KINCAID President 423-926-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 5883370001) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-05-09 |