NPI | 1891109609 |
---|---|
Entity Type | Organization |
Authorized Contact | DEWAYNE SCOTT STEFFEY Fnp/Owner 423-239-0099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN7390) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2014-06-19 |
Last Update Date | 2023-03-10 |