NPI 1093118085
Pain MD LLC
Practice location
- Address
- 1700 Pinebrook Dr STE. 2, Kingsport, TN 37660-4365
- Phone
- (423) 245-3170
- Mailing address
- PO Box 681789, Franklin, TN 37068-1789
Authorised official
- Name
- Carroll E Combs
- Title
- Credentialing Coordinator
- Phone
- (615) 435-0584
Registered specialties (3)
Prosthetic/Orthotic Supplier
Primary
Non-Pharmacy Dispensing Site
Customized Equipment (DME)
Registry record
- NPI
- 1093118085
- Entity type
- Organization
- NPI issued
- 3 Oct 2014
- Record last updated
- 16 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.