# BLACKSBURG CENTER FOR PAIN MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679995088
- **Authorized official:** DON BIVINS MD (DOCTOR)
- **Authorized official phone:** (540) 605-9773

## Contact information

- **Practice address:** 1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
- **Practice address phone:** (540) 605-9773
- **Practice address fax:** (540) 605-9777
- **Mailing address:** 1901 S MAIN ST, SUITE 8, BLACKSBURG, VA 24060-6600
- **Mailing address phone:** (540) 605-9773
- **Mailing address fax:** (540) 605-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 0101029470 | VA | Yes |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014