Mid South Pain & Anesthesia Clinic, Inc.
NPI #1093131401 in Germantown, Tennessee
Provider Information
- NPI Number
- 1093131401
- Entity Type
- Organization
- Organization Name
- Mid South Pain & Anesthesia Clinic, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 10, 2014
- Last Updated
- Feb 29, 2024
Practice Location
- Address
- 3087 PROFESSIONAL PLZ
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-7912
- Phone
- (901) 761-0800
Authorized Official
- Name
- PHILLIP EDWARD GREEN, M.D.
- Title
- OWNER
- Phone
- (901) 761-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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