| NPI | 1073605663 |
|---|---|
| Doing Business As | BROADWAY NECK AND SPINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN CHAVIN Medical Director 865-444-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 32281) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-06-11 |