Banyan Healthcare & Wellness Center, LLC
NPI #1942381207 in Manchester, Tennessee
Provider Information
- NPI Number
- 1942381207
- Entity Type
- Organization
- Organization Name
- Banyan Healthcare & Wellness Center, LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Apr 4, 2008
Practice Location
- Address
- 1030 MCARTHUR ST
- City
- Manchester
- State
- Tennessee
- ZIP Code
- 37355-2453
- Phone
- (931) 723-7950
Authorized Official
- Name
- JAMES EDWARD ROTH, M.D.
- Title
- PRESIDENT
- Phone
- (615) 943-9294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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