| NPI | 1871855205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A KEENAN Owner 865-777-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |