Healthcare Provider Details

I. General information

NPI: 1164943387
Provider Name (Legal Business Name): PRECISION PAIN CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 ENON SPRINGS RD E
SMYRNA TN
37167
US

IV. Provider business mailing address

519 ENON SPRINGS RD E
SMYRNA TN
37167-4446
US

V. Phone/Fax

Practice location:
  • Phone: 615-223-6200
  • Fax:
Mailing address:
  • Phone: 615-223-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number38297
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHARLES GRAFFORD HILGENHURST
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 615-223-6200