| 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 |