| NPI | 1770807919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY S CROSS Asst. Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2021-10-20 |