| NPI | 1740256197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SHIKOH Chairman Of The Board 423-648-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 147) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-03-12 |