| NPI | 1679842637 |
|---|---|
| Other Name | CEB I |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD40130) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN MD19201) |
| 207R00000X Internal Medicine (Licence: TN MD19625) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TN MD26210) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: TN MD39380) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TN MD13109) | |
| 207W00000X Ophthalmology (Licence: TN MD12599) | |
| 208000000X Pediatrics (Licence: TN MD45960) | |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: TN MD35095) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: TN MD34692) | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: TN MD43116) | |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: TN MD20802) | |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TN MD16312) | |
| 208200000X Plastic Surgery (Licence: TN MD25709) | |
| 208600000X Surgery (Licence: TN MD20468) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2019-09-11 |