| NPI | 1750680328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARTELLONI Practice Adm 865-466-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-09-28 |