| NPI | 1477740512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENA ANN MCCONNELL Credentialing 865-694-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 25901) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2020-12-22 |