Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Associate Interdisciplinary Clinic (Pain-C)

Organization Physician Assistant · NPI 1407373210

Physician Associate Interdisciplinary Clinic (Pain-C) is a Physician Assistant in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

4131 Kirby Pkwy Ste 1 Kirby-Raines Medical Center
Memphis, TN 38115-3206
Phone: (706) 536-3272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1805 (TN)

Record details

NPI number1407373210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maurice Skillern — President / Ceo · (706) 536-3272
NPI enumeratedAugust 23, 2017
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address4131 Kirby Pkwy Ste 1, Memphis, TN 38115-6500

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