| NPI | 1902593536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARDIK PAREKH Md 423-767-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-12-13 |