| NPI | 1588228712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN DUNNE Authorized Official 423-388-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-09-27 |