| NPI | 1851523641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT DAVID LAING Medical Driector 423-542-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 15696) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |