Organization
CUMBERLAND PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA GRANT MD (AUTHORIZED REPRESENTATIVE)
(931) 393-7933
Entity
Organization
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-7933
Mailing address
255 W MICHIGAN AVE, P. O. BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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