Organization
CLEVELAND PAIN MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRUCE GEACH MD (PHYSICIAN)
(909) 910-9155
Entity
Organization
Contact information
Practice address
55 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(909) 379-5652
Mailing address
8424 OOLTEWAH GEORGETOWN RD, OOLTEWAH, TN 37363-5706
(909) 910-9155
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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