| NPI | 1770133597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L. PINSON Nurse Practitioner/Owner 865-789-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-12-01 |