| NPI | 1629139118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE V. PADGETT Billing / Insurance 423-778-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-07-16 |