| NPI | 1689632119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH TAYLOR WOMBLE Administrator 865-560-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000141) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |