| NPI | 1558411520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S MCGILL President 423-798-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO0000001255) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000007290) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-08-31 |