Provider Demographics
NPI:1124564695
Name:NOBLE TRUTH HOLDINGS, LLC
Entity Type:Organization
Organization Name:NOBLE TRUTH HOLDINGS, LLC
Other - Org Name:ACTIVE PAIN MANAGEMENT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-526-7246
Mailing Address - Street 1:620 S JEFFERSON AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501
Mailing Address - Country:US
Mailing Address - Phone:931-526-7246
Mailing Address - Fax:931-526-7369
Practice Address - Street 1:620 S JEFFERSON AVE
Practice Address - Street 2:STE 202
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501
Practice Address - Country:US
Practice Address - Phone:931-526-7246
Practice Address - Fax:931-526-7369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207LP2900X
208VP0000X
TNMD0000045915261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty