| NPI | 1699079673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ALBURY PICKETT Executive Director 423-304-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 26074) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-05-11 |