| NPI | 1699220897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINAS JONAS ADAMS Md 423-289-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000014412) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000054085) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |