| NPI | 1477062958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG STITHEM Owner 423-763-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-03-10 |