| NPI | 1639844954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGRUTI RAJ Owner 423-933-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-05-26 |