| NPI | 1730101684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO MEJIA Owner/ Provider 423-587-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 25075) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-04-23 |