| NPI | 1447590070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN FOX Nurse Practitioner/Owner 865-255-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN0000007219) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |