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 Pain Medicine, Pain Medicine |
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 |