| NPI | 1376886887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNY L REEVES President 423-722-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 38547) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-02-03 |