Better Life Medical PC
Organization Active NPI Medical Specialty Clinic/Center · Gray, TN
NPI 1174152011 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1174152011
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- BETTER LIFE MEDICAL PC
- Practice address
- 2103 Forest Dr Ste 6
Gray, TN 37615-8422 - Phone
- (423) 794-3142
- Fax
- (423) 794-3184
- NPI assigned
- Apr 3, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- BETTER LIFE MEDICAL PC
Authorized official
- Name
- Margaret W Tipton
- Title
- Credentialing Coordinator
- Phone
- (865) 243-2136
Corporate family (same tax ID) 2
Practitioners 1
-
Robert H. Odell Jr., M.D., PH.D.
National Provider Directory
- Tax ID family
- Better Life Medical PC
- Part of
- Better Life Medical PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
2103 Forest Dr Ste 6
Gray, TN 37615-8422
Mailing address
1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 219-3506
Other names
- Tennessee Men's Health
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- Carly Victoria Barnes
- Kathy Beard
- Kirk L Black
- Blue Ridge Medical Management Corporation
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- Andrew Levi Blythe
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All providers in Gray, TN · Medical Specialty Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.