# SOUTHEASTERN PAIN MANAGEMENT CENTER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHEASTERN PAIN MANAGEMENT CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326053760
- **Authorized official:** DENNIS M AGUIRRE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (423) 968-4540

## Contact information

- **Practice address:** 3183 W STATE ST, SUITE 1101, BRISTOL, TN 37620-1712
- **Practice address phone:** (423) 968-2772
- **Practice address fax:** (423) 968-1377
- **Mailing address:** 350 BLOUNTVILLE HWY, STE 207, BRISTOL, TN 37620-0213
- **Mailing address phone:** (423) 968-4540
- **Mailing address fax:** (423) 968-5697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020