Provider First Line Business Practice Location Address:
55 HUMPHREYS CENTER DR STE 200
Provider Second Line Business Practice Location Address:
PAIN CLINIC ASSOCIATES, PC
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38120-2366
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-747-0040
Provider Business Practice Location Address Fax Number:
901-842-6910
Provider Enumeration Date:
07/11/2007