| NPI | 1447769807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GODBOLD VP Of Opersations 865-293-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-06-16 |