NPI | 1770139974 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY CHAVEZ Admin 865-927-6372 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
363A00000X Physician Assistant | |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |