| NPI | 1306317011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WHITFIELD Manager 423-329-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |