| NPI | 1760522726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER L VACHON Partner 423-288-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TN 1869) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |