| NPI | 1497750400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HURST Business Office Manager 423-778-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 0000000135) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-12-19 |