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PAIN PHYSICIANS OF ATLANTA LLC NPI 1922592641


NPI Information

NPI: 1922592641
Provider Name: PAIN PHYSICIANS OF ATLANTA LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 11D2181462

Address:
3333 OLD MILTON PKWY STE 400
ALPHARETTA, GA
ZIP 30005
Phone: (770) 391-3979
Get Directions

PAIN PHYSICIANS OF ATLANTA LLC is an interventional pain medicine pain medicine in Alpharetta, 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 PHYSICIANS OF ATLANTA LLC NPI is 1922592641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3333 OLD MILTON PKWY STE 400
ALPHARETTA, GA
ZIP 30005
Phone: (770) 391-3979
Fax: (770) 391-0020

The provider's authorized official is Virginia Minicozzi .
The authorized official title is Practice Manager and has the following contact phone number (770) 391-3979.

The CLIA number assigned to this NPI record is 11D2181462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2018 and was last updated on 6/16/2018.


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 MedicineGEORGIAYes

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
1208VP0014XMEDICAIDGEORGIA

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: 11/14/2023

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