NPI | 1700059516 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER G STIMPSON Practice Owner 865-458-4647 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 8483) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 4971) |
207R00000X Internal Medicine (Licence: TN 27033) | |
207R00000X Internal Medicine (Licence: TN 4971) | |
Enumeration Date | 2008-04-12 |
Last Update Date | 2008-04-12 |