| NPI | 1992162200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE L RUTHERFORD Office Manager 865-588-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN MD41631) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |