Perimeter Pain And Primary
Pain Medicine, Interventional Pain Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1497414437
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1497414437
- Entity type
- Organization (NPI-2)
- Legal business name
- Perimeter Pain And Primary
- Organization subpart
- No
- Enumeration date
- Dec 16, 2021
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QP3300X | Clinic/Center, Pain | – | – |
Practice location
879 W Jackson StCookeville, TN 38501-5901
Phone 931-486-3345 · Fax 615-535-5978
Mailing address
879 W Jackson StCookeville, TN 38501-5901
Phone 931-400-7246
Authorized official
Timothy Bunker
Medical Director
9314863345
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