| NPI | 1982897641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSA K NASERI Nurse Practioner 423-257-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN6456) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TN apn6456) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2013-10-15 |