| NPI | 1548347396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE C ROBERTS Office Manager 423-787-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 25711) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 1736) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |