| NPI | 1376831222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP J HAGGERTY Medical Director 865-687-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 34645) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2022-03-30 |