| NPI | 1366607277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M JENKINSON Medical Director / Owner 423-285-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: TN n/a) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TN n/a) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |