NPI | 1891985909 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD A COLE Owner 423-639-0871 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TN MD008807) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2008-10-02 |