Organization
PHYSICIAN ASSOCIATE INTERDISCIPLINARY CLINIC (PAIN-C)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE SKILLERN DMS, PA-C (PRESIDENT / CEO)
(706) 536-3272
Entity
Organization
Contact information
Practice address
4131 KIRBY PKWY STE 1, KIRBY-RAINES MEDICAL CENTER, MEMPHIS, TN 38115-3206
(706) 536-3272
Mailing address
4131 KIRBY PKWY STE 1, MEMPHIS, TN 38115-6500
(706) 536-3272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1805
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407373210
CLINIC NPI NUMBER
—
Enumeration date
08/23/2017
Last updated
11/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us