| NPI | 1801163712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOBROWOLSKI President 423-544-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine (Licence: TN 9519) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 14513) | |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2012-08-15 |