| 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 |