| NPI | 1710477450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARRISON Owner 865-932-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN MD20351) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |