| NPI | 1528280021 |
|---|---|
| Doing Business As | CPSD,PLLC |
| Entity Type | Organization |
| Authorized Contact | WINFRED C MANDA Medical Director 423-553-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 38183) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |