| NPI | 1699158410 |
|---|---|
| Doing Business As | MEND CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN HOBBY Director Mso 865-273-1752 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |