| NPI | 1902186877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURCH Office Manager 423-745-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD14888) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |