NPI | 1881763175 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL A SLONAKER Direct Owner 423-743-9176 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |