| NPI | 1477972933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER REECE Director Of Operations 423-956-2682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-07-12 |