NPI | 1508027723 |
---|---|
Entity Type | Organization |
Authorized Contact | LORETTA R TURBEVILLE Owner 865-809-4326 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN12184) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TN APN12184) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |