| NPI | 1477005593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIREN PATEL Sole Proprietor 423-747-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA 72071) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |