| NPI | 1982643938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL L. DABBS Authorized Official 865-293-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-11-17 |