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Organization

CHILHOWEE MEDICAL, INC.

Active
Other names
Chilhowee Medical, Inc. DBA Chilhowee Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAWAYNE DOUGLAS CANTRELL AUTHORIZED SIGNATURE (PRACTICE CONSULTANT)
(888) 352-5559
Entity
Organization

Contact information

Practice address
2012 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804
(865) 981-8838
(865) 380-8868
Mailing address
253 REYNOLDS ROAD, CHILHOWEE MEDICAL, INC. IN CARE OF DAWAYNE CANTRELL, KEAVY, KY 40737
(888) 352-5559
(606) 363-0789

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
1136
TN

Other

Enumeration date
01/26/2018
Last updated
01/26/2018
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