| NPI | 1427313717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MELISSA TIBEDO National Director, Enrollment Ops 865-985-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-11-19 |