NPI | 1356529739 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD R WALTERS Owner 423-727-7711 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD9597) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2008-02-19 |