| NPI | 1720662513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G JENKINS Credentialing COO Rdinator 865-862-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2021-05-08 |