Organization Name: | TOTAL PAIN MANAGEMENT, LLC |
NPI Number: | 1114361474 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYLON INMAN (OWNER) |
Mailing Address: | 24 W Main St Parsons |
State: | TN US |
Postal Code: | 383632012 |
Phone Number: | 7318478762 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2013 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |