| NPI | 1598817801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE P HARTMAN Owner 423-392-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 36815) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN 139176) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 36815) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-05-15 |