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Organization

PAIN MANAGEMENT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE JOBE (PRACTICE MANAGER)
(865) 220-0070
Entity
Organization

Contact information

Practice address
140 E DIVISION RD STE A1, OAK RIDGE, TN 37830-6900
(865) 220-0070
(865) 220-9918
Mailing address
PO BOX 4547, OAK RIDGE, TN 37831-4547
(865) 220-0070

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3379916
TN
Enumeration date
08/16/2007
Last updated
08/16/2007
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