| NPI | 1447732235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA A BRYANT Practice Manager 865-684-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |