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CUMBERLAND BACK PAIN CLINIC NPI 1932310828


NPI Information

NPI: 1932310828
Provider Name: CUMBERLAND BACK PAIN CLINIC

Doing Business As: THE PAIN CENTER OF KINGSPORT

Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
1732 N EASTMAN RD
KINGSPORT, TN
ZIP 37664
Phone: (615) 591-2754
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CUMBERLAND BACK PAIN CLINIC is a physician assistant in Kingsport, TN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. CUMBERLAND BACK PAIN CLINIC NPI is 1932310828. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Pain Center Of Kingsport.

The provider's business location address is:

1732 N EASTMAN RD
KINGSPORT, TN
ZIP 37664-376
Phone: (615) 591-2754
Fax: (615) 591-2755

The provider's authorized official is Annette M Dreifke .
The authorized official title is Billing Manager and has the following contact phone number (615) 591-2754.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 8/22/2020.


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
1363A00000XPhysician AssistantPA918TENNESSEEYes

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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