| NPI | 1457734717 |
|---|---|
| Doing Business As | SERC - INDEPENDENCE SQUARE |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle Operations 423-238-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |