NPI | 1699775536 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD ADKINS Director 865-293-5328 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
363A00000X Physician Assistant | |
Enumeration Date | 2005-07-21 |
Last Update Date | 2021-07-29 |