| NPI | 1851721369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GWYN ROPER Owner 423-483-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 37128) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-02-05 |