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Organization
PAIN CONSULTANTS OF WEST TENNESSEE
Active
Organization
PAIN CONSULTANTS OF WEST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK EDWIN JORDAN M.D. (OWNER)
(731) 660-5116
Entity
Organization
Contact information
Practice address
160 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1667
(731) 660-5116
(731) 660-5119
Mailing address
160 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1667
(731) 660-5116
(731) 660-5119
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD14614
TN
Other
Enumeration date
09/21/2007
Last updated
12/03/2007
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