NPI | 1558403063 |
---|---|
Entity Type | Organization |
Authorized Contact | KATY ELIZABETH COFFEY CFO 423-745-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO1481) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 1261) |
208000000X Pediatrics (Licence: TN MD28936) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-12-06 |