| NPI | 1619088697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W LANGENBERG Practice Administrator 865-584-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-09-19 |