| NPI | 1831173392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BENJAMIN RIVERS President 865-588-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TN 2075) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-02-01 |