| NPI | 1932310828 |
|---|---|
| Doing Business As | THE PAIN CENTER OF KINGSPORT |
| Entity Type | Organization |
| Authorized Contact | ANNETTE M DREIFKE Billing Manager 615-591-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA918) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |