| NPI | 1962700773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HIRSCH COO Rdinator 865-277-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN APN13185) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-05-17 |