| NPI | 1861704371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E BRICKHOUSE Owner 865-288-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 1506) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2013-08-21 |