Provider Demographics
NPI:1033694724
Name:PAIN INSTITUTE OF NASHVILLE, PLC
Entity Type:Organization
Organization Name:PAIN INSTITUTE OF NASHVILLE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-369-6500
Mailing Address - Street 1:PO BOX 330175
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7501
Mailing Address - Country:US
Mailing Address - Phone:615-369-6500
Mailing Address - Fax:615-866-3934
Practice Address - Street 1:491 SAGE RD N # 100
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-9360
Practice Address - Country:US
Practice Address - Phone:615-369-6500
Practice Address - Fax:615-866-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain