| NPI | 1932488327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM D. LIVESAY Owner 423-419-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2021-03-12 |