Southeastern Pain Pllc
NPI #1992217723 in Wartburg, Tennessee
Provider Information
- NPI Number
- 1992217723
- Entity Type
- Organization
- Organization Name
- Southeastern Pain Pllc
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Nov 2, 2017
- Last Updated
- Jun 1, 2018
Practice Location
Authorized Official
- Name
- GARY CHASE BLACK, MD
- Title
- OWNER
- Phone
- (770) 548-2182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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