| NPI | 1669676490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGULA GUPTA Office Manager 423-317-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-08-31 |