Coburn Back And Neck Pain Clinic Inc. | |
8099 Stage Hills Blvd Suite 101 Bartlett TN 38133-4064 | |
(901) 386-0080 | |
(901) 382-0089 |
Full Name | Coburn Back And Neck Pain Clinic Inc. |
---|---|
Speciality | Clinic/center |
Location | 8099 Stage Hills Blvd, Bartlett, Tennessee |
Authorized Official Name and Position | Richard Eugene Coburn (PRESIDENT) |
Authorized Official Contact | 9013860080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coburn Back And Neck Pain Clinic Inc. 8099 Stage Hills Blvd Suite 101 Bartlett TN 38133-4064 Ph: (901) 386-0080 | Coburn Back And Neck Pain Clinic Inc. 8099 Stage Hills Blvd Suite 101 Bartlett TN 38133-4064 Ph: (901) 386-0080 |
NPI Number | 1043482193 |
---|---|
Provider Enumeration Date | 03/28/2008 |
Last Update Date | 03/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043482193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1351 (Tennessee) | Primary |
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