| NPI | 1447393194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DENISON Director 865-637-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000026) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |