| NPI | 1912206350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH S. COREY Owner 423-698-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7007) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-09-26 |