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SYNERGY PAIN AND REHABILITATION NPI 1376580167


NPI Information

NPI: 1376580167
Provider Name: SYNERGY PAIN AND REHABILITATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1985 HOWELL MILL RD NW
STE. B
ATLANTA, GA
ZIP 30318
Phone: (404) 355-1322
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SYNERGY PAIN AND REHABILITATION is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SYNERGY PAIN AND REHABILITATION NPI is 1376580167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1985 HOWELL MILL RD NW
STE. B
ATLANTA, GA
ZIP 30318-566
Phone: (404) 355-1322
Fax: (404) 355-5404

The provider's authorized official is Vincent Bubolo .
The authorized official title is Owner and has the following contact phone number (404) 355-1322.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist6956GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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