| NPI | 1801892609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ZIEGLER WALLS Office Manager 865-882-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD005463) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2009-10-08 |