Organization
AMBULATORY CARE PAIN SPECIALISTS
Active
Other names
Ambulatory Care Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY P THAKUR M.D. (PHYSICIAN/OWNER)
(423) 346-5566
Entity
Organization
Contact information
Practice address
2497 S ROANE ST, HARRIMAN, TN 37748-8670
(423) 346-5566
(423) 346-5631
Mailing address
PO BOX 368, WARTBURG, TN 37887-0368
(423) 346-5566
(423) 346-5631
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
06/08/2011
Last updated
06/14/2011
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