| NPI | 1841064516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN DINH Owner, Physician 423-818-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2024-10-08 |