| NPI | 1922757111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TODD RUDOLPH Medical Director 423-322-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-07-16 |