| NPI | 1265533897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F HALL Owner 931-840-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-05-06 |