Provider Demographics
NPI:1376831222
Name:ANESTHESIOLOGY & PAIN MANAGEMENT CONSULTANTS INC
Entity Type:Organization
Organization Name:ANESTHESIOLOGY & PAIN MANAGEMENT CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAGGERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-687-3313
Mailing Address - Street 1:2606 GREENWAY DR
Mailing Address - Street 2:640 NORTH BUILDING, SUITE 101
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1904
Mailing Address - Country:US
Mailing Address - Phone:865-687-3313
Mailing Address - Fax:865-687-3362
Practice Address - Street 1:2606 GREENWAY DR
Practice Address - Street 2:640 NORTH BUILDING, SUITE 101
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1904
Practice Address - Country:US
Practice Address - Phone:865-687-3313
Practice Address - Fax:865-687-3362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34645207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty