Organization
ADVANCED PAIN TREATMENT CENTERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS E MEEKINS MD (OWNER)
(731) 736-1882
Entity
Organization
Contact information
Practice address
60 LYNOAK CV, JACKSON, TN 38305-2800
(731) 736-1882
(731) 736-1883
Mailing address
60 LYNOAK CV, JACKSON, TN 38305-2800
(731) 736-1882
(731) 736-1883
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
43477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505801
—
NV
01
—
100852
MEDICARE ID TYPE UNSPECIFIED
—
01
—
4225396
MEDICAID
TN
05
—
PENDING
—
TN
Enumeration date
05/20/2009
Last updated
08/10/2009
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