Organization
ASSOCIATED PAIN SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H. O'DELL JR. MD (SECRETARY)
(865) 558-3476
Entity
Organization
Contact information
Practice address
2103 FOREST DR STE 5, GRAY, TN 37615-8423
(423) 794-3142
(423) 794-3184
Mailing address
1326 PAPERMILL POINTE WAY, KNOXVILLE, TN 37909-1903
(865) 558-3476
(865) 330-6323
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
00000456
TN
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
7068360002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002178
—
TN
Enumeration date
12/30/2013
Last updated
08/28/2023
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