Foothills Pain Management

LBN: Advanced Medical Group
Foothills Pain Management is an health care organization with primary practice located at 717 Watkins Rd , Maryville TN 37801-4598. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Advanced Medical Group can be contacted via phone (865) 980-7802, or through Bragg, Terry via phone (865) 982-7802.

Contact Information

Primary practice address
717 Watkins Rd Maryville TN 37801-4598
Phone: (865) 980-7802
Fax: (865) 980-7804
Website:
Map and Directions
Authorized official contact:
Name: Bragg, Terry Doctor of Chiropractic (DC)
Phone: (865) 982-7802

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0682 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 000011720 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0000013567 Tennessee

Profile Details

NPI number 1205167509
LBN Legal business name Advanced Medical Group
DBA Doing business as Foothills Pain Management
Authorized official Bragg, Terry Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Jan 26th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205167509 NPPES
Tennessee MEDICAID 1510839

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