Healthcare Provider Details

I. General information

NPI: 1861225260
Provider Name (Legal Business Name): PAIRADOX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 WILLIAMS DR STE 202
MURFREESBORO TN
37129-3195
US

IV. Provider business mailing address

1608 WILLIAMS DR STE 202
MURFREESBORO TN
37129-3195
US

V. Phone/Fax

Practice location:
  • Phone: 615-656-3045
  • Fax:
Mailing address:
  • Phone: 615-656-3045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID DELATTE
Title or Position: OWNER
Credential: MD
Phone: 615-656-3045