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SOUTHERN PAIN AND REGENERATIVE MEDICINE PC NPI 1841799707


NPI Information

NPI: 1841799707
Provider Name: SOUTHERN PAIN AND REGENERATIVE MEDICINE PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 44D2155943

Address:
5683 S REX RD
MEMPHIS, TN
ZIP 38119
Phone: (901) 350-0678
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SOUTHERN PAIN AND REGENERATIVE MEDICINE PC is an interventional pain medicine pain medicine in Memphis, TN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SOUTHERN PAIN AND REGENERATIVE MEDICINE PC NPI is 1841799707. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5683 S REX RD
MEMPHIS, TN
ZIP 38119-821
Phone: (901) 350-0678
Fax: (901) 350-0677

The provider's authorized official is Thomas Hodgkiss .
The authorized official title is Owner and has the following contact phone number (901) 350-0678.

The CLIA number assigned to this NPI record is 44D2155943 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 10/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2363A00000XPhysician AssistantNo
3363LF0000XNurse PractitionerFamilyNo
4208VP0014XPain MedicineInterventional Pain MedicineMD20801TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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