# PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1730368408
- **Authorized official:** CONNIE S JOBE (PRACTICE MANAGER)
- **Authorized official phone:** (865) 220-0070

## Contact information

- **Practice address:** 140 E DIVISION RD, A1, OAK RIDGE, TN 37830-6937
- **Practice address phone:** (865) 220-0070
- **Mailing address:** PO BOX 4547, OAK RIDGE, TN 37831-4547
- **Mailing address phone:** (865) 220-0070
- **Mailing address fax:** (865) 220-0422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 0000011062 | TN | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 01/09/2008