| NPI | 1932254430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENA ANN MCCONNELL Credentialing 865-694-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-11-19 |