| NPI | 1407947203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EUGENE WHITE Administrator 423-648-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000023447) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |