Preferred Pain Center of Grundy County
NPI #1508101734 in Gruetli Laager, Tennessee
Provider Information
- NPI Number
- 1508101734
- Entity Type
- Organization
- Organization Name
- Preferred Pain Center of Grundy County
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Nov 28, 2012
- Last Updated
- Sep 27, 2013
Practice Location
- Address
- 32717 SR 108
- City
- Gruetli Laager
- State
- Tennessee
- ZIP Code
- 37339
- Phone
- (931) 779-2225
Authorized Official
- Name
- CHARLOTTE D MARKS
- Title
- BILLING MANAGER
- Phone
- (931) 779-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
| Nurse Practitioner - Family — Family |
| Physician Assistant |
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