| NPI | 1902350846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L. SCOTT President 423-815-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-31 |