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PAIN SOLUTIONS TREATMENT CENTERS NPI 1497858971


NPI Information

NPI: 1497858971
Provider Name: PAIN SOLUTIONS TREATMENT CENTERS

Former Legal Business Name: GEORGIA PAIN CLINIC

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 11D1087129

Address:
400 TOWER RD NE
SUITE 350
MARIETTA, GA
ZIP 30060
Phone: (770) 590-1078
Get Directions

PAIN SOLUTIONS TREATMENT CENTERS is an interventional pain medicine pain medicine in Marietta, GA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PAIN SOLUTIONS TREATMENT CENTERS NPI is 1497858971. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Georgia Pain Clinic.

The provider's business location address is:

400 TOWER RD NE
SUITE 350
MARIETTA, GA
ZIP 30060-415
Phone: (770) 590-1078
Fax: (770) 422-7306

The provider's authorized official is Gayle Hawkins .
The authorized official title is Director Of Operations and has the following contact phone number (770) 590-1078.

The CLIA number assigned to this NPI record is 11D1087129 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/22/2011.


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
1208VP0014XPain MedicineInterventional Pain Medicine00049726GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3103MEDICARE PINGEORGIA

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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