| NPI | 1912194028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES TASKER Physician 423-384-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN MD017578) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-01-27 |