| NPI | 1649442237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E BISHOFBERGER Owner 423-784-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 41757) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 41757) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2011-12-01 |