| NPI | 1366317133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE KELLY Administrator 865-424-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-11-18 |