| NPI | 1376538876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARTLEY Chief Administrative Officer 423-246-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000114) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-05-04 |