| NPI | 1528726148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE WILLIAMS Owners/President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |