NPI | 1427872290 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHTON MENCER WATSON Owner. Nurse P Ractitioner 865-230-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-11-08 |