| NPI | 1972069375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY P HOLLOWAY Dir Of Provider And Patient Service 865-293-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |