NPI | 1689831802 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE A POORE Owner 423-869-0004 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2021-02-12 |