| 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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