Organization
PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE S JOBE (PRACTICE MANAGER)
(865) 220-0070
Entity
Organization
Contact information
Practice address
140 E DIVISION RD, A1, OAK RIDGE, TN 37830-6937
(865) 220-0070
Mailing address
PO BOX 4547, OAK RIDGE, TN 37831-4547
(865) 220-0070
(865) 220-0422
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0000011062
TN
Other
Enumeration date
10/30/2007
Last updated
01/09/2008
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