NPI | 1992068878 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDAL DABBS President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 208M00000X Hospitalist |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2012-06-16 |
Last Update Date | 2024-06-20 |