| NPI | 1902224520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISTVAN Owner/President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-10-30 |