| NPI | 1861666562 |
|---|---|
| Doing Business As | ETSU HIGH RISK CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID D. COLLINS CFO, VP Finance & Administration 423-439-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-09-11 |