| NPI | 1770594129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ROSE PERRY Operations Manager / Credentialing 423-899-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-04-22 |