Pain MD LLC

NPI #1093118085 in Kingsport, Tennessee

Provider Information

NPI Number
1093118085
Entity Type
Organization
Organization Name
Pain MD LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Oct 3, 2014
Last Updated
Oct 16, 2015

Practice Location

Address
1700 PINEBROOK DR
Address 2
STE. 2
ZIP Code
37660-4365
Phone
(423) 245-3170

Authorized Official

Name
MR. CARROLL E COMBS JR.
Title
CREDENTIALING COORDINATOR
Phone
(615) 435-0584

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Non-Pharmacy Dispensing Site
Prosthetic/Orthotic Supplier

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