| NPI | 1639472137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E. BOYNTON Member 423-447-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2013-11-21 |