Pain MD LLC
NPI #1114320108 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1114320108
- Entity Type
- Organization
- Organization Name
- Pain MD LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 3, 2014
- Last Updated
- Oct 15, 2015
Practice Location
- Address
- 980 PROFESSIONAL PARK DR
- Address 2
- STE. C
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-5251
- Phone
- (931) 647-5747
Authorized Official
- Name
- MR. CARROLL E COMBS JR.
- Title
- CORPORATE COUNSEL
- Phone
- (615) 435-0553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Non-Pharmacy Dispensing Site |
| Prosthetic/Orthotic Supplier |
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| Karnashia Person | |
| Markeisha Laquita Wardell |
Organizations
| Provider Name | |
|---|---|
| Bulow Biotech Prosthetics, LLC | |
| Advanced Diagnostic Imaging, PC Part of Advancd Diagnostic Imaging, PC | |
| A Step Ahead, LLC |
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