| NPI | 1760190508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SUKENIK Billing And Administrative Director 865-567-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-06-30 |