| NPI | 1598385361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET W TIPTON Credentialing Coordinator 865-243-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |