| NPI | 1912649518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN HAWTHORNE CFO / Vice President Finance 865-541-8181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-01-22 |