Healthcare Provider Details

I. General information

NPI: 1427297365
Provider Name (Legal Business Name): SPINAL PAIN RELIEF CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 GENERAL GEORGE PATTON DR. SUITE 100
FRANKLIN TN
37067
US

IV. Provider business mailing address

1880 GENERAL GEORGE PATTON DR. SUITE 100
FRANKLIN TN
37067
US

V. Phone/Fax

Practice location:
  • Phone: 615-373-0608
  • Fax: 615-373-0668
Mailing address:
  • Phone: 615-373-0608
  • Fax: 615-373-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1229
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number17958
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number12987
License Number StateTN

VIII. Authorized Official

Name: DR. BRENDAN BARRY WRIGHT
Title or Position: PRESIDENT
Credential: D.C.
Phone: 615-373-0608