| NPI | 1750616207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD NED WECKESSER President 865-908-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN 28080) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TN 28080) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |