Organization
PAIN MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BAYS CPC (OFFICE MANAGER)
(423) 232-6120
Entity
Organization
Contact information
Practice address
101 MED TECH PKWY, SUITE 200, JOHNSON CITY, TN 37604-4007
(423) 232-6120
(423) 232-6125
Mailing address
101 MED TECH PKWY, SUITE 200, JOHNSON CITY, TN 37604-4007
(423) 232-6120
(423) 232-6125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134016XX
PREFERRED CARE
TN
01
—
146990
ANTHEM VA - BRISTOL
TN
01
—
146991
ANTHEM VA - KPT
TN
05
—
3715213
—
TN
01
—
373941500
DEPT OF LABOR
TN
01
—
CG3754
MEDICARE RAILROAD
TN
Enumeration date
10/28/2008
Last updated
10/28/2008
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