| NPI | 1508334129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEWIS MARTIN CEO 423-259-8661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2024-02-02 |