NPI | 1386075737 |
---|---|
Entity Type | Organization |
Authorized Contact | NAG BIRUDAVOL CEO/President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-12-11 |
Last Update Date | 2020-10-27 |