| NPI | 1639246101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY PEARCY Office Manager 423-247-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 15775) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-01-26 |