| NPI | 1609806389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA O MULLINS Practice Administrator 423-245-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 2086S0127X Surgery, Trauma Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-07-31 |