| NPI | 1942520713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J SMITH Owner 865-803-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TN APN7024) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: TN RN0101110) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |