Organization
PAIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARROLL E COMBS JR. (CREDENTIALING COORDINATOR)
(615) 503-9000
Entity
Organization
Contact information
Practice address
1380 EASTCHESTER DR, STE. 111, HIGH POINT, NC 27265-2658
(336) 885-5033
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
(615) 503-9000
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/17/2014
Last updated
11/10/2015
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