| NPI | 1831520683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J THOMPSON CFO 865-213-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18159) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |