| NPI | 1720024284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BAYS Office Manager 423-232-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 44C0001144) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |