| NPI | 1831330067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI DENIS DICKENSON Owner 423-247-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 10969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN md42820) |
| 207Q00000X Family Medicine (Licence: TN 19265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 7650) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2014-07-16 |