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

Organization Pain Medicine (Anesthesiology) Physician · NPI 1992217723

Southeastern Pain PLLC is a Pain Medicine (Anesthesiology) Physician in Wartburg, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1236 Knoxville Hwy
Wartburg, TN 37887
Phone: (770) 548-2182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1992217723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Black — Owner · (770) 548-2182
NPI enumeratedNovember 2, 2017
Last updated in NPPESJune 1, 2018
Mailing address3671 Burning Bush Rd, Ringgold, GA 30736-5725