| NPI | 1689964322 |
|---|---|
| Other Name | PAIN MANAGEMENT OF WASHINGTON CTY |
| Entity Type | Organization |
| Authorized Contact | RICAHRD BOLEYN President 865-330-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD018742) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC1804) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |