| NPI | 1609145622 |
|---|---|
| Doing Business As | CEB II |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 38763) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 17098) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 34744) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 44073) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2019-02-15 |