Organization
PREFERRED PAIN CENTER OF GRUNDY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D MARKS (BILLING MANAGER)
(931) 779-2225
Entity
Organization
Contact information
Practice address
32717 SR 108, GRUETLI LAAGER, TN 37339
(931) 779-2225
(931) 779-2226
Mailing address
PO BOX 258, GRUETLI LAAGER, TN 37339-0258
(931) 779-2225
(931) 779-2226
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
TN
363A00000X
Physician Assistant
Primary
—
TN
363LF0000X
Family Nurse Practitioner
—
TN
Other
Enumeration date
11/28/2012
Last updated
09/27/2013
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