PRIMACARE PAIN & REHAB.LLC NPI 1043537905

NPI Information

PRIMACARE PAIN & REHAB.,LLC is a pain clinic center in Decatur, GA. PRIMACARE PAIN & REHAB.,LLC NPI is 1043537905. The provider is registered as an organization entity type.

The provider's business location address is:

4467 GLENWOOD RD
SUITE 2
DECATUR, GA
ZIP 30032-014
Phone: (404) 284-5556
Fax: (404) 284-5557

The provider's authorized official is Khamis W Ibrahim .
The authorized official title is Clinic Director and has the following contact phone number (404) 284-5556.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 4/30/2010.

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:

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