| NPI | 1851285126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIERLY Managing Partner 423-838-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |