| NPI | 1487039103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMALEE T GRIFFITH Member, L Ac 423-544-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN Acu166) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |