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Organization
CHATTANOOGA PAIN MANAGEMENT CENTER LLC
Active
Organization
CHATTANOOGA PAIN MANAGEMENT CENTER LLC
Active
Other names
Chattanooga Pain Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN OCONNOR (OFFICER/AUTHORIZED OFFICIAL)
(615) 376-7315
Entity
Organization
Contact information
Practice address
1016 EXECUTIVE DR, HIXSON, TN 37343-3995
(615) 376-7550
(615) 329-6290
Mailing address
1016 EXECUTIVE DR, HIXSON, TN 37343-3995
(615) 376-7550
(615) 329-6290
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
183
TN
261QP3300X
Pain Clinic/Center
183
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3739688
—
TN
01
—
P00267077
RAILROAD MEDICARE
TN
Enumeration date
07/09/2006
Last updated
10/04/2024
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