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Organization
CHILHOWEE MEDICAL, INC.
Active
Organization
CHILHOWEE MEDICAL, INC.
Active
Other names
Chilhowee Medical, Inc. DBA Chilhowee Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAWAYNE DOUGLAS CANTRELL AUTHORIZED SIGNATURE (PRACTICE CONSULTANT)
(888) 352-5559
Entity
Organization
Contact information
Practice address
2012 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804
(865) 981-8838
(865) 380-8868
Mailing address
253 REYNOLDS ROAD, CHILHOWEE MEDICAL, INC. IN CARE OF DAWAYNE CANTRELL, KEAVY, KY 40737
(888) 352-5559
(606) 363-0789
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
1136
TN
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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