| NPI | 1730395104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISH MAPLES Credentialing Coordinator 865-342-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-05-06 |