| NPI | 1407102809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. DOUGLAS LENSGRAF President 865-330-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 36478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16691) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN7957) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |