| NPI | 1588304844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN SCOTT Executive Director 423-650-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-29 |