| NPI | 1427151406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BRADLEY Physician 865-453-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TN TNMD14371) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |