| NPI | 1639360332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI BETH PAGE President 423-867-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 33861) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |