Physician Associate Interdisciplinary Clinic (pain-C)

NPI #1407373210 in Memphis, Tennessee

Provider Information

NPI Number: 1407373210
Entity Type: Organization
Organization Name: Physician Associate Interdisciplinary Clinic (pain-C)
Primary Specialty: Physician Assistant
Enumeration Date: Aug 23, 2017
Last Updated: Nov 10, 2021

Practice Location

Address: 4131 KIRBY PKWY STE 1
Address 2: KIRBY-RAINES MEDICAL CENTER
City: Memphis
State: Tennessee
ZIP Code: 38115-3206
Phone: (706) 536-3272

Authorized Official

Name: MAURICE SKILLERN, DMS, PA-C
Title: PRESIDENT / CEO
Phone: (706) 536-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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