| NPI | 1912095175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN R FOSTER Physician 423-318-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 31234) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |