| NPI | 1699972901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CONLEY Office Manager 865-531-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN md008974) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN md018257) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-09-11 |