| NPI | 1386049476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GILBERT Provider/Owner 423-339-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014265) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-12-22 |