| NPI | 1760524029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SUGANTHARAJ Owner 865-357-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000009519) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-06-03 |