| NPI | 1770652372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA PORTER Administrative Assistant 865-305-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-11-23 |