| NPI | 1841799707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HODGKISS Owner 901-350-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN MD20801) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2022-10-05 |