Healthcare Provider Details

I. General information

NPI: 1558880286
Provider Name (Legal Business Name): HEALTHCARE RESOURCES MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 LEBANON HWY
CARTHAGE TN
37030-2954
US

IV. Provider business mailing address

74 LEBANON HWY
CARTHAGE TN
37030-2954
US

V. Phone/Fax

Practice location:
  • Phone: 615-735-8002
  • Fax: 615-735-1590
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHRYN DUBRAY
Title or Position: ADMINISTRATOR
Credential:
Phone: 615-735-8002