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 |