| NPI | 1356678882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE B. CUNNINGHAM Md 865-584-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2019-06-25 |