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NPI Code Detail

MEDICARE: TOTAL PAIN MANAGEMENT, LLC

MEDICARE: TOTAL PAIN MANAGEMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/Center

General Provider Information

NPI Number : 1114361474
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL PAIN MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 24 W MAIN ST
Second Line :
City : PARSONS
State : TN
Zip : 38363-2012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 W MAIN ST
Second Line :
City : PARSONS
State : TN
Zip : 38363-2012
Country : US
Telephone Number : 731-847-8762
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WAYLON INMAN
Credential :
Telephone Number : 731-847-8762
Provider Enumeration Date : 04/17/2013
Last Update Date : 04/17/2013

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Directions to “TOTAL PAIN MANAGEMENT, LLC ” Practice Location

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