| NPI | 1740664986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A MAYNARD Vice President 865-305-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-06-05 |