NPI | 1659761062 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A. BURKS Audiologist 423-914-2846 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN 1468) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TN 247) |
Enumeration Date | 2015-01-24 |
Last Update Date | 2015-01-24 |