| NPI | 1558563262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K. LONDON President & CEO 865-545-7558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X |
| 251E00000X Home Health | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-04-24 |