| NPI | 1699946103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L BECK Practi CIO Ner/Owner 423-338-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN F0906005) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |