# SPINAL PAIN SOLUTIONS

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

## Provider details

- **NPI number:** 1891039244
- **Authorized official:** CHARLOTTE D MARKS (BILLING MANAGER)
- **Authorized official phone:** (931) 808-1244

## Contact information

- **Practice address:** 1208 S ROANE ST, HARRIMAN, TN 37748-7420
- **Practice address phone:** (865) 882-3667
- **Practice address fax:** (865) 882-3664
- **Mailing address:** PO BOX 1081, HARRIMAN, TN 37748-1081
- **Mailing address phone:** (865) 882-3667
- **Mailing address fax:** (865) 882-3664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |
| 363L00000X | Nurse Practitioner | — | TN | — |

## Other

- **Enumeration date:** 11/23/2012
- **Last updated:** 09/27/2013