| NPI | 1629471131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP D KIRKLAND President / CEO 865-414-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN 1277) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TN 1277) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TN 1277) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: TN 1277) | |
| 363A00000X Physician Assistant (Licence: TN 1277) | |
| 363AM0700X Physician Assistant, Medical (Licence: TN 1277) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-03-07 |