| NPI | 1740671668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMERO RIVAS Owner/Physician 423-485-3226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000042493) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |