| NPI | 1437433380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ODELL Secretary 865-330-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 43044) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 5529) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2020-02-24 |