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Contact Information

INTERVENTIONAL PAIN CENTER, PLLC
353 NEW SHACKLE ISLAND RD STE 148C
HENDERSONVILLE, TN37075-2366
 Phone: 615-972-1000
 Fax: 615-537-4950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL PAIN CENTER, PLLC

NPI Number 1285976407
LBN Legal business name INTERVENTIONAL PAIN CENTER, PLLC
Authorized official BRAD WILSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2013
Last updated 10/17/2023 - About 3 years ago
Identifiers
TN License # DO0000002339
TN Medicaid 1531251
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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