Organization
MORRISTOWN PAIN CONSULTANTS
Active
Other names
Broadway Neck and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN CHAVIN MD (MEDICAL DIRECTOR)
(865) 444-5059
Entity
Organization
Contact information
Practice address
1124 N BROADWAY, KNOXVILLE, TN 37917-6527
(865) 444-5059
(865) 540-6804
Mailing address
1124 N BROADWAY, KNOXVILLE, TN 37917-6527
(865) 444-5059
(865) 540-6804
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
32281
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378614
—
TN
05
—
3848928
—
TN
01
—
6455330001
MEDICARE DME PTAN
TN
Enumeration date
09/29/2006
Last updated
06/11/2018
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