Organization
INTERVENTIONAL PAIN CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI WIDDIFIELD (PRACTICE ADMINISTRATOR)
(423) 339-9581
Entity
Organization
Contact information
Practice address
2550 BUSINESS PARK DR NE, CLEVELAND, TN 37311-6503
(423) 339-9581
Mailing address
PO BOX 2070, CLEVELAND, TN 37320-2070
(423) 339-9581
(423) 472-0493
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/30/2023
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