| NPI | 1760736201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICKEY MAUGHON Owner/Physician 865-429-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN MD16795) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |