| NPI | 1700256484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS FRAZER CEO 865-604-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-06-22 |