Organization · NPI-2
Pain MD LLC
Prosthetic/Orthotic Supplier · Gallatin, TN
NPI number1295138287
StatusActive
Last updated in NPPESOct 16, 2015
Details
- NPI
- 1295138287
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain MD LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2014
- Last updated
- Oct 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | – |
Practice location
179 Hancock StSte. 203
Gallatin, TN 37066-6346
Phone 615-230-3045
Mailing address
Po Box 681789Franklin, TN 37068-1789
Phone 615-503-9000
Authorized official
Carroll E Combs
Corporate Counsel
6154350553
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