| NPI | 1710425368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C. DOTY President 423-639-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 1366442782) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |