NPI | 1487313847 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN HESS Owner/President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-12-14 |
Last Update Date | 2023-01-24 |