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 |