NPI | 1649511965 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR DOUGLAS LENSGRAF President 423-794-3142 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 36478) |
207R00000X Internal Medicine (Licence: TN 18742) | |
363A00000X Physician Assistant (Licence: TN 1826) | |
363L00000X Nurse Practitioner (Licence: TN 15083) | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |