| NPI | 1376971085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D WADZINSKI Medical Director 865-679-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TN 42480) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |