| NPI | 1568114130 |
|---|---|
| Doing Business As | FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | ZANDRA M MILLS Credentialing Manager 865-500-2144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |