| NPI | 1457574345 |
|---|---|
| Doing Business As | SOUTHEST GYNECOLOGIC ONCOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JULIE P. GADDIS Office Manager 865-673-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD28234) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |