NPI | 1811348303 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA C BLAIR Nurse Practitioner 423-263-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 18159) |
Enumeration Date | 2016-06-25 |
Last Update Date | 2016-06-25 |