Platinum Medical Group

NPI #1962824482 in Smyrna, Tennessee

Provider Information

NPI Number: 1962824482
Entity Type: Organization
Organization Name: Platinum Medical Group
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Jan 17, 2014
Last Updated: Jan 17, 2014

Practice Location

Address: 515 STONECREST PKWY
Address 2: SUITE 230
City: Smyrna
State: Tennessee
ZIP Code: 37167-6826
Phone: (615) 355-0554

Authorized Official

Name: DR. CHAD STEPHEN BOOMERSHINE, M.D., PH.D.
Title: MEDICAL DIRECTOR
Phone: (615) 355-0554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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