| NPI | 1649209321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S CRAWFORD Physician 865-218-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 30506) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-07-22 |