| NPI | 1801065081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HIGGINS Owner 865-541-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD 16285) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-03-24 |