| NPI | 1730134180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLARK Insurance Manager 423-499-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-09-07 |