| NPI | 1699343525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WHISENANT Nurse Practitioner/Owner 865-321-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |