| NPI | 1477360097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA L HARWOOD Director 423-302-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse Wound Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |