| NPI | 1942566773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN STABLER Owner 423-728-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN APN 7160) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2016-05-18 |