| NPI | 1487917209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KENNETH AUSTIN Owner 423-495-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000022043) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |