Pain Management Of Middle Tennessee PLLC
in Nashville, TN. Organization (NPI-2).
NPI number1982146361
StatusActive
Last updated in NPPESFeb 3, 2017
Details
- NPI
- 1982146361
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Management Of Middle Tennessee PLLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2016
- Last updated
- Feb 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Anesthesia Medical Group Pain Clinic (Doing Business As)
Practice location
330 23rd Ave NSuite 130
Nashville, TN 37203-1534
Phone 615-620-1650 · Fax 615-620-1654
Mailing address
110 29th Ave NSuite 202
Nashville, TN 37203-1401
Phone 615-327-4340 · Fax 615-327-7940
Authorized official
Patrick A Forrest
Owner/President
6153274304
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