| NPI | 1962800912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A MAYNARD Vice President 865-305-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2020-06-05 |