Organization
ELITE PAIN CONSULTANTS, PLLC
Active
Parent organization
ELITE PAIN CONSULTANTS, PLLC
Other names
Elite Pain Consultants of Knoxville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE PAIN CONSULTANTS, PLLC
Authorized official
CASSY ELLEDGE (REVENUE DIRECTOR)
(423) 476-5774
Entity
Organization
Contact information
Practice address
11416 GRIGSBY CHAPEL RD STE 104, KNOXVILLE, TN 37934-1649
(865) 218-2100
Mailing address
PO BOX 2070, CLEVELAND, TN 37320-2070
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7741470002
MEDICARE NSC
—
Enumeration date
02/23/2018
Last updated
07/06/2022
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