# STEPHEN V DRESKIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennessee Valley Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619212453
- **Authorized official:** MRS. AMBER S GENTER (MANAGER)
- **Authorized official phone:** (423) 664-4635

## Contact information

- **Practice address:** 1012 EXECUTIVE DR, HIXSON, TN 37343-3993
- **Practice address phone:** (423) 664-4635
- **Practice address fax:** (423) 664-4640
- **Mailing address:** 6130 SHALLOWFORD RD, STE 101, CHATTANOOGA, TN 37421-7222
- **Mailing address phone:** (423) 664-4635
- **Mailing address fax:** (423) 664-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 01/11/2019