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MID SOUTH PAIN & ANESTHESIA CLINIC INC. NPI 1093131401


NPI Information

NPI: 1093131401
Provider Name: MID SOUTH PAIN & ANESTHESIA CLINIC, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3087 PROFESSIONAL PLZ
GERMANTOWN, TN
ZIP 38138
Phone: (901) 761-0800
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MID SOUTH PAIN & ANESTHESIA CLINIC, INC. is a durable medical equipment medical supplies in Germantown, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MID SOUTH PAIN & ANESTHESIA CLINIC, INC. NPI is 1093131401. The provider is registered as an organization entity type.

The provider's business location address is:

3087 PROFESSIONAL PLZ
GERMANTOWN, TN
ZIP 38138-912
Phone: (901) 761-0800
Fax: (901) 761-7738

The provider's authorized official is Phillip Edward Green .
The authorized official title is Owner and has the following contact phone number (901) 761-0800.

The enumeration date for this NPI number is 3/10/2014 and was last updated on 2/29/2024.


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
1332B00000XDurable Medical Equipment & Medical Supplies017865TENNESSEEYes

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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