| NPI | 1881733525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M THOMAS Office Manager 423-559-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 36799) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |