| NPI | 1740997808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KIRK BREWER Owner 423-977-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2023-05-10 |