# TENNESSEE RIVER PAIN MANAGEMENT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennessee River Pain Management Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447578018
- **Authorized official:** MS. TERESA DIANE DAILEY NP, MSN (NP)
- **Authorized official phone:** (731) 925-7246

## Contact information

- **Practice address:** 275A EUREKA ST, SAVANNAH, TN 38372-3033
- **Practice address phone:** (731) 925-7246
- **Practice address fax:** (731) 925-7991
- **Mailing address:** 275A EUREKA ST, SAVANNAH, TN 38372-3033
- **Mailing address phone:** (731) 925-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 13057 | TN | Yes |

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 08/04/2010