| NPI | 1912992272 |
|---|---|
| Other Name | THE BREAZEALE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN BREAZEALE Office Manager 865-342-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-09-03 |