| NPI | 1629592050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL DABBS Director 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |