| NPI | 1437432754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL G REED Owner 865-773-0327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |