| NPI | 1407240971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ALEXANDER UNGER Sole Member, Founder 865-934-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 49026) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |