| NPI | 1659112662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G JENKINS Credentialing Coordinator 865-862-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-04-21 |