Organization
JACKSON INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC HOMBERG MD (OWNER)
(731) 267-0222
Entity
Organization
Contact information
Practice address
379 HOSPITAL BLVD, JACKSON, TN 38305-2177
(731) 267-0222
Mailing address
379 HOSPITAL BLVD, JACKSON, TN 38305-2080
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/26/2010
Last updated
09/07/2010
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