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