Organization
THE CENTER FOR PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE COLEMAN (BILLING OFFICE MANAGER)
(757) 215-0180
Entity
Organization
Contact information
Practice address
3315 HIGH STREET, PORTSMOUTH, VA 23707
(757) 399-0759
(757) 397-8951
Mailing address
3315 HIGH STREET, PORTSMOUTH, VA 23707
(757) 399-0759
(757) 397-8951
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265199
ANTHEM BCBS
VA
01
—
CF8574
RR MEDICARE
—
Enumeration date
01/02/2007
Last updated
11/12/2010
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