| NPI | 1396430708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE PADGETT Billing And Credentialing 865-404-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |