| NPI | 1962848713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY W DANIEL Billing And Accounts Manager 423-643-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 0000010071) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |