| NPI | 1902905573 |
|---|---|
| Former Legal Business Name | LEBANON PAIN MANAGEMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TYROMA DENISE HENDRIX Owner Doctor 615-504-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 7162) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1874DC) |
| 363A00000X Physician Assistant (Licence: TN 1192PA) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-09-30 |