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Organization

SPINAL PAIN SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE D MARKS (BILLING MANAGER)
(931) 808-1244
Entity
Organization

Contact information

Practice address
1208 S ROANE ST, HARRIMAN, TN 37748-7420
(865) 882-3667
(865) 882-3664
Mailing address
PO BOX 1081, HARRIMAN, TN 37748-1081
(865) 882-3667
(865) 882-3664

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN
363L00000X
Nurse Practitioner
TN

Other

Enumeration date
11/23/2012
Last updated
09/27/2013
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