| NPI | 1972368785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BAKERINK Director, Provider Enrollment 865-500-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-08-12 |