| NPI | 1023385812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CORVINI President 865-507-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2024-06-04 |