| 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 |