# EXODUS RECOVERY CENTER, PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184047516
- **Authorized official:** DR. DAVID G NEWMAN M.D. (ORGANIZING MEMBER)
- **Authorized official phone:** (252) 414-7395

## Contact information

- **Practice address:** 4200 MARTIN MILL PIKE, KNOXVILLE, TN 37920-3033
- **Practice address phone:** (252) 414-7395
- **Mailing address:** 4200 MARTIN MILL PIKE, KNOXVILLE, TN 37920-3033
- **Mailing address phone:** (252) 414-7395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | MD20094 | TN | Yes |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014