NPI | 1386698710 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER EMANUEL Physician 865-546-9484 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
Additional Taxonomies | 2085N0700X Radiology Neuroradiology |
2085P0229X Radiology Pediatric Radiology | |
2085R0204X Radiology Vascular & Interventional Radiology | |
363LA2100X Nurse Practitioner Acute Care | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2022-09-12 |