| NPI | 1528762671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE L JOHNSON Administrative Director 865-427-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |