NPI | 1376557348 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MICHEAL HYDER Practice Administrator 423-926-6266 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2010-11-05 |