| NPI | 1790045656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M MAUGHON Physician/Owner 865-429-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TN MD16795) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-11-01 |