| NPI | 1699251124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FAY WILLIAMS Owner 865-246-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 20142) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |