NPI | 1669486973 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA T. OSTERMEYER Office Manager 423-764-1084 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 009980) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 034106) |
207RN0300X Internal Medicine, Nephrology (Licence: TN 015559) | |
207R00000X Internal Medicine (Licence: TN 011243) | |
207R00000X Internal Medicine (Licence: TN 038379) | |
207R00000X Internal Medicine (Licence: TN 023958) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2012-06-26 |