| NPI | 1891091815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN E HALE Director 865-670-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 14652) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-06-01 |