Organization
CENTER FOR PAIN MANAGEMENT, LLC
Active
Organization
CENTER FOR PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER)
(469) 458-9222
Entity
Organization
Contact information
Practice address
1150 PROFESSIONAL CT STE P, HAGERSTOWN, MD 21740-4100
(301) 850-2768
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
(469) 458-9222
(540) 918-7202
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305600700
—
MD
01
—
CN1752
RAILROAD MEDICARE
MD
01
—
F220
BLUE CROSS
MD
01
—
KE11CE
BLUE CROSS
MD
Enumeration date
03/28/2006
Last updated
12/08/2025
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