Healthcare Provider Details
I. General information
NPI: 1316619687
Provider Name (Legal Business Name): RIVERVIEW PAIN AND JOINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1524 WILLIAMS DR STE 102
MURFREESBORO TN
37129-3274
US
IV. Provider business mailing address
1524 WILLIAMS DR STE 102
MURFREESBORO TN
37129-3274
US
V. Phone/Fax
- Phone: 615-225-9100
- Fax: 615-225-9105
- Phone: 615-225-9100
- Fax: 615-225-9105
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
MORRIS
Title or Position: CEO/OWNER
Credential: DC
Phone: 615-225-9100