| NPI | 1831275825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIANA CARTER Secretary/Treasurer 865-453-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN MD30020) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-10-26 |