| NPI | 1619266814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL HOMOLYA Owner / Physician 615-431-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 45952) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2020-12-14 |