NPI | 1679394514 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT H ODELL President 865-673-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
332900000X Non-Pharmacy Dispensing Site | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |