| NPI | 1376682021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN C CHASTAIN Partner 423-472-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-10-06 |