| NPI | 1386886265 |
|---|---|
| Doing Business As | CLARKSVILLE PAIN CONSULTANTS |
| Entity Type | Organization |
| Authorized Contact | KYLE LONGO President 931-905-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN MD45045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000012014) |
| 111N00000X Chiropractor (Licence: TN DC0000002132) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2010-09-02 |