NPI | 1992584940 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW THOMAS HERD Owner/President 865-693-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-27 |