| NPI | 1841433059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M LOCKE Billing Administrator 423-224-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-04-22 |