Organization
CUMBERLAND BACK PAIN CLINIC
Active
Other names
The Pain Center of Kingsport
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M DREIFKE (BILLING MANAGER)
(615) 591-2754
Entity
Organization
Contact information
Practice address
1732 N EASTMAN RD, KINGSPORT, TN 37664-2376
(615) 591-2754
(615) 591-2755
Mailing address
1732 N EASTMAN RD, KINGSPORT, TN 37664-2376
(615) 591-2754
(615) 591-2755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA918
TN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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