| NPI | 1851560700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY J ALLEN Presiden 423-238-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 4706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 14062) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |