PAIN MANAGEMENT & WELLNESS CENTERS OF GEORGIA LLC NPI 1386903672

NPI Information

NPI: 1386903672
Provider Name: PAIN MANAGEMENT & WELLNESS CENTERS OF GEORGIA, LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
4905 LAVISTA RD
SUITE B
TUCKER, GA
ZIP 30084
Phone: (770) 680-5740
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PAIN MANAGEMENT & WELLNESS CENTERS OF GEORGIA, LLC is a pain clinic center in Tucker, GA. PAIN MANAGEMENT & WELLNESS CENTERS OF GEORGIA, LLC NPI is 1386903672. The provider is registered as an organization entity type.

The provider's business location address is:

4905 LAVISTA RD
SUITE B
TUCKER, GA
ZIP 30084-409
Phone: (770) 680-5740
Fax: (770) 680-5754

The provider's authorized official is Abraham Cohen .
The authorized official title is Manager and has the following contact phone number (770) 680-5740.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 6/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	00228865	GEORGIA	No
2	261QP3300X	Clinic/Center	Pain	00228865	GEORGIA	Yes

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: 5/5/2024

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