| NPI | 1417470501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI VATT Director Of Administration 423-206-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN MD0000055440) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2024-06-04 |