Advanced Pain Clinic, P.c.

NPI #1336454511 in Columbia, Tennessee

Provider Information

NPI Number: 1336454511
Entity Type: Organization
Organization Name: Advanced Pain Clinic, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED PAIN CLINIC, P.C.
Primary Specialty: Specialist
Enumeration Date: Aug 12, 2010
Last Updated: May 21, 2020

Practice Location

Address: 230 EAST JAMES CAMPBELL BLVD.
Address 2: SUITE 102
City: Columbia
State: Tennessee
ZIP Code: 38401
Phone: (931) 840-9588

Authorized Official

Name: JAIME GORE
Title: BILLING MANAGER
Phone: (615) 794-5009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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