| NPI | 1568913663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY C LINKE Executive Assistant 423-631-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-31 |