| NPI | 1356656367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GILBERT WEGENER President 865-938-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN 5159192) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |