| NPI | 1659360071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM N BRANTNER Medical Director 423-283-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TN 0000000109) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-04-20 |