Healthcare Provider Details

I. General information

NPI: 1033694724
Provider Name (Legal Business Name): PAIN INSTITUTE OF NASHVILLE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 SAGE RD N # 100
WHITE HOUSE TN
37188-9360
US

IV. Provider business mailing address

PO BOX 330175
NASHVILLE TN
37203-7501
US

V. Phone/Fax

Practice location:
  • Phone: 615-369-6500
  • Fax: 615-866-3934
Mailing address:
  • Phone: 615-369-6500
  • Fax: 615-866-3934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RON WOOD
Title or Position: BILLING MANAGER
Credential:
Phone: 615-369-6500