Organization
ROANE COUNTY INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARTELLONI (PRACTICE ADM)
(865) 466-0650
Entity
Organization
Contact information
Practice address
1468 GATEWAY AVE, ROCKWOOD, TN 37854-4143
(865) 466-0650
Mailing address
PO BOX 476, HARRIMAN, TN 37748-0476
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
09/28/2011
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