| NPI | 1700858818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH B PARKER Office Manager 865-539-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 20447) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 20818) |
| 207Q00000X Family Medicine (Licence: TN 34640) | |
| 207R00000X Internal Medicine (Licence: TN 28506) | |
| 208000000X Pediatrics (Licence: TN 28506) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-08-08 |