| 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 |