| NPI | 1386818649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L MILLER Bookkeeper 423-624-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN MD0000020236) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |