| NPI | 1972976256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSAM M AGHEL President 865-689-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 40298) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-02-22 |