| NPI | 1992967244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL TEAGUE Owner 865-483-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD33973) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2010-06-21 |