| NPI | 1811930902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MACK Partner 865-637-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |