| NPI | 1699946343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MCSWAIN Credentialing Specialist 865-243-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2023-10-12 |