NPI | 1770767790 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA J. HOUSE Insurance, Credentialing 865-546-2888 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000010436) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2007-12-27 |