| NPI | 1568760544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE SCHOONDYKE M.D./Owner 423-926-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 36563) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-10-08 |