| NPI | 1467846253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD EDWARD PHILLIPS Owner 423-273-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD024822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD024822) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |