TENNESSEE RIVER PAIN MANAGEMENT CLINIC NPI 1447578018

NPI Information

NPI: 1447578018
Provider Name: TENNESSEE RIVER PAIN MANAGEMENT CLINIC

Doing Business As: TENNESSEE RIVER PAIN MANAGEMENT CLINIC

Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
275A EUREKA ST
SAVANNAH, TN
ZIP 38372
Phone: (731) 925-7246
Get Directions

TENNESSEE RIVER PAIN MANAGEMENT CLINIC is an adult health nurse practitioner in Savannah, TN. TENNESSEE RIVER PAIN MANAGEMENT CLINIC NPI is 1447578018. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tennessee River Pain Management Clinic.

The provider's business location address is:

275A EUREKA ST
SAVANNAH, TN
ZIP 38372-033
Phone: (731) 925-7246
Fax: (731) 925-7991

The provider's authorized official is Teresa Diane Dailey .
The authorized official title is Np and has the following contact phone number (731) 925-7246.

The CLIA number assigned to this NPI record is 44D2287364 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 8/4/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	13057	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	TENNESSEE	TAX ID

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: 5/5/2024

NPI Synchronization or Removal

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