| NPI | 1598148736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN FOUAD NADROUS Owner 865-986-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000038206) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |