NPI | 1457682403 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER R HORTON Owner/Operator 423-570-8545 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 34689) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2010-01-14 |