| NPI | 1629491295 |
|---|---|
| Other Name | KRISTOPHER GODDARD |
| Entity Type | Organization |
| Authorized Contact | JAYNE M MONTROSS COO 865-693-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO0000002081) |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2014-02-01 |