| NPI | 1629381090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICKEY MAUGHON Physician / Owner 865-429-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN MD16795) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2012-08-24 |