| NPI | 1780030445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A MELVIN Owner 423-802-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 21452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 21452) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 21452) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-10-07 |