| NPI | 1700084563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J. WALSH Owner 865-522-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 4029) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |