| NPI | 1538552443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELAINE WEBB Sole Member Fnp 865-755-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 19686) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |