Healthcare Provider Details

I. General information

NPI: 1265533897
Provider Name (Legal Business Name): SPECTRUM PAIN CLINICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8132 CORDOVA RD
CORDOVA TN
38016-6005
US

IV. Provider business mailing address

8132 CORDOVA RD
CORDOVA TN
38016-6005
US

V. Phone/Fax

Practice location:
  • Phone: 901-405-6470
  • Fax: 901-747-2338
Mailing address:
  • Phone: 901-405-6470
  • Fax: 901-747-2338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: DR. JEFFREY F HALL
Title or Position: OWNER
Credential: MD
Phone: 931-840-9588