Organization
SOUTHERN PAIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANNA STEWART (OFFICE MANAGER)
(615) 459-3244
Entity
Organization
Contact information
Practice address
751 CHESAPEAKE LN, SUITE 220, CLARKSVILLE, TN 37040-5263
(615) 459-3206
(615) 459-6525
Mailing address
739 PRESIDENT PL, SUITE 220, SMYRNA, TN 37167-6844
(615) 459-3244
(615) 459-6525
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34231
TN
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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