| NPI | 1588332530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ADKINS Director 865-293-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |