| NPI | 1619056462 |
|---|---|
| Doing Business As | TENNESSEE VALLEY PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | AMBER GENTER Manager 423-664-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 26298) |
| 174400000X Specialist (Licence: TN 26240) | |
| 291U00000X Clinical Medical Laboratory | |
| 363A00000X Physician Assistant (Licence: TN 846) | |
| 363L00000X Nurse Practitioner (Licence: TN 11764) | |
| 363L00000X Nurse Practitioner (Licence: TN apn8476) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-09-09 |