| NPI | 1619009065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS C. FORD Owner Supervising M.D. 423-614-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 1196) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 10501) |
| 207Q00000X Family Medicine (Licence: TN 12143) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-04-28 |