| NPI | 1841741196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY DIANA DAVIS Physician Assistant/Owner 423-282-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 2497) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |