| NPI | 1790370633 | 
|---|---|
| Doing Business As | SOUTHEAST CENTER FOR BONE AND JOINT | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA NOEL TAYLOR Clinic Director 423-296-2604  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner | 
| Enumeration Date | 2021-03-03 | 
| Last Update Date | 2021-03-03 |