Organization
PERIMETER PAIN AND PRIMARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BUNKER MD (MEDICAL DIRECTOR)
(931) 486-3345
Entity
Organization
Contact information
Practice address
879 W JACKSON ST, COOKEVILLE, TN 38501-5901
(931) 486-3345
(615) 535-5978
Mailing address
879 W JACKSON ST, COOKEVILLE, TN 38501-5901
(931) 400-7246
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/16/2021
Last updated
02/01/2023
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