| NPI | 1669414264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL L DABBS President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-09-14 |