| NPI | 1750460515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MILTON MATHEWS President Owner 423-581-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD012570TN) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC MD9700433NC) |
| 207Q00000X Family Medicine (Licence: TN MD012570TN) | |
| 207Q00000X Family Medicine (Licence: NC MD9700433NC) | |
| 207R00000X Internal Medicine (Licence: TN MD012570TN) | |
| 207R00000X Internal Medicine (Licence: NC 9700433NC) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: TN MD012570TN) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NC MD9700433NC) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN MD012570TN) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 9700433NC) | |
| 208D00000X General Practice (Licence: TN MD012570TN) | |
| 208D00000X General Practice (Licence: NC 9700433NC) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |