| NPI | 1467949776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE KIRKLAND Provider Enrollment 865-985-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-07-18 |