MEDICARE: SPECTRUM PAIN CLINICS INC.

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
1	207QA0505X	Adult Medicine Physician		TN
2	208VP0014X	Interventional Pain Medicine Physician		TN

General Provider Information

NPI Number	:	1265533897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUM PAIN CLINICS INC.

Provider Business Mailing Address
First Line	:	8132 CORDOVA RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-6005
Country	:	US
Telephone Number	:	901-405-6470
Fax Number	:	901-747-2338

Provider Business Practice Location Address
First Line	:	8132 CORDOVA RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-6005
Country	:	US
Telephone Number	:	901-405-6470
Fax Number	:	901-747-2338

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY F HALL
Credential	:	MD
Telephone Number	:	931-840-9588

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	12/03/2025

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