| NPI | 1790984219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES MARTIN President 423-587-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN PA746) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |