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Organization
PROFESSIONAL PAIN MANAGEMENT, LLC
Active
Organization
PROFESSIONAL PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S. COFER NP (OWNER)
(423) 790-7500
Entity
Organization
Contact information
Practice address
301 KEITH ST SW, SUITE 204, CLEVELAND, TN 37311-5808
(423) 790-7500
(423) 790-5299
Mailing address
PO BOX 4350, CLEVELAND, TN 37320-4350
(423) 790-7500
(423) 790-5299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13528
TN
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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