| NPI | 1427449602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEEV GUPTA Owner 423-317-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN00000019620) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |