| NPI | 1356683205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA L SHILLINGS Office Manager 865-218-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 20540) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2014-10-16 |