| NPI | 1992118939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET PELMORE Medical Director 865-285-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16534) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |