| NPI | 1821167115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E METCALF Bus.Ofc.Manager 423-697-1857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 1821167115) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-02-22 |