| NPI | 1447260765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C ALLEN President 423-979-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |