| NPI | 1912048596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DONALD KING President 865-524-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-03-26 |