| NPI | 1598017576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD C ROLAND Owner 865-394-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN11916) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |