| NPI | 1578000410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CALVIN DOTY President 423-639-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 1043217352) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |