| NPI | 1609977909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHERIDAN Nurse Practitioner 423-698-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 12194) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-07-21 |