| NPI | 1437835188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARLEY ODELL President 865-212-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-08-03 |