| NPI | 1437822095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CRANE Owner/President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-12-01 |