| NPI | 1417328543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARDER Proprietor 865-692-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: TN 30444) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-12-09 |