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Organization

PAIN MANAGEMENT ASSOCIATES LLC

Active
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Organization

PAIN MANAGEMENT ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY MICHELLE WILSON (DIRECTOR)
(865) 985-7114
Entity
Organization

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
(513) 672-4479
Mailing address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
(865) 985-7114
(865) 692-5867

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—

Other

Enumeration date
07/21/2005
Last updated
07/30/2026
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