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Organization

THE JOINT AND SPINE PAIN CENTER

Active
Other names
The Joint and Spine Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI REED (OFFICE MANAGER)
(931) 919-3813
Entity
Organization

Contact information

Practice address
980 PROFESSIONAL PARK DR STE C, CLARKSVILLE, TN 37040-5251
(931) 919-3813
(931) 919-3813
Mailing address
980 PROFESSIONAL PARK DR STE C, CLARKSVILLE, TN 37040-5251
(931) 919-3813
(931) 919-3813

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3376845
TN
01
65940645
KENTUCKY MEDICAID
KY
Enumeration date
04/20/2006
Last updated
10/12/2023
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