| NPI | 1730371865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSIE ARRINGTON Credentialing 423-643-2576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2019-11-04 |