Organization
GRACE POINT PLLC
Active
Parent organization
GRACE POINT PLLC
Other names
GRACE POINT PAIN MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE POINT PLLC
Authorized official
MR. DAWAYNE DOUGLAS CANTRELL (DIRECTOR OF FINANCE)
(606) 813-1979
Entity
Organization
Contact information
Practice address
2012 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(606) 813-1979
(606) 363-0789
Mailing address
253 REYNOLDS RD, KEAVY, KY 40737-2834
(606) 813-1979
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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