# MCMINNVILLE PAIN RELIEF CENTER

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

## Provider details

- **NPI number:** 1831433283
- **Authorized official:** MR. MATT ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (931) 474-1616

## Contact information

- **Practice address:** 810 SPARTA ST STE 4, MCMINNVILLE, TN 37110-2698
- **Practice address phone:** (931) 474-1616
- **Practice address fax:** (931) 474-1618
- **Mailing address:** 810 SPARTA ST STE 4, MCMINNVILLE, TN 37110-2698
- **Mailing address phone:** (931) 474-1616
- **Mailing address fax:** (931) 474-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |
| 363AM0700X | Medical Physician Assistant | — | TN | — |
| 363LF0000X | Family Nurse Practitioner | — | TN | — |

## Other

- **Enumeration date:** 11/23/2012
- **Last updated:** 09/19/2013