Organization
PAIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARROLL E COMBS JR. (CORPORATE COUNSEL)
(615) 435-0553
Entity
Organization
Contact information
Practice address
725 COOL SPRINGS BLVD, STE. 550, FRANKLIN, TN 37067-2702
(615) 503-9000
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
(615) 503-9000
(615) 435-0549
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005805
—
TN
Enumeration date
11/12/2013
Last updated
01/31/2017
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