People involved with a Tennessee pain clinic grossed at least $8.1 million from a conspiracy to illegally distribute pain pills in southeastern Kentucky that caused an overdose death, a federal grand jury has charged.
Those charged include the owners of the Tennessee Pain Institute, Anwar Mithavayani and Pete Tyndale; two doctors who worked there, Timothy Gowder and Gary Moore; and two Kentucky men, James Bradley Combs and Larry Karr, who allegedly sold drugs.
The case has been pending since May 2017 when the grand jury first indicted Gowder, 70, and Moore, 66, who live in Tennessee, but it was sealed at times.
U.S. Magistrate Judge Hanly A. Ingram unsealed it Thursday after a grand jury added charges against Mithavayani, 54, and Tyndale, 46, who live in South Florida; Combs, 40, of Woodbine; and Karr, 73, of Keavy.
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The indictment said the six conspired to distribute pain pills from January 2009 through last August in Bell, Knox, Laurel, McCreary and Whitley counties.
The clinic was in Hixson, Tenn., near Chattanooga, but pills from there allegedly contributed to the drug problem in southeastern Kentucky.
The clinic closed after police conducted a search, according to a news release from the U.S. Department of Justice.
The indictment attributed an overdose death from the scheme to Mithavayani, Tyndale, Gowder, and Moore.
Those four also face charges of money laundering, while Combs and Karr face drug-distribution charges.
The most serious charges against Combs and Karr have a top sentence of 20 years.
If convicted, Mithavayani, Tyndale, Gowder and Moore face a minimum of 20 years in prison, and up to life, because the alleged conspiracy resulted in a death, according to the indictment.
The case was investigated by the U.S. Drug Enforcement Administration, the Internal Revenue Service, Kentucky State Police and the Kentucky Attorney General’s Office, according to the news release.