| NPI | 1558825125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN INCANDELA Admin 865-357-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-10-15 |