| NPI | 1538895115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DEARING Medical Managing Provider 423-736-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |