Mcminnville Pain Relief Center

NPI #1831433283 in Mcminnville, Tennessee

Provider Information

NPI Number: 1831433283
Entity Type: Organization
Organization Name: Mcminnville Pain Relief Center
Primary Specialty: Family Medicine
Enumeration Date: Nov 23, 2012
Last Updated: Sep 19, 2013

Practice Location

Address: 810 SPARTA ST STE 4
City: Mcminnville
State: Tennessee
ZIP Code: 37110-2698
Phone: (931) 474-1616

Authorized Official

Name: MR. MATT ANDERSON
Title: ADMINISTRATOR
Phone: (931) 474-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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