MD PAIN CARE PC NPI 1396053286

NPI Information

  • NPI: 1396053286
  • Provider Name: MD PAIN CARE PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1301 SIGMAN RD NE
    SUITE 100
    CONYERS, GA
    ZIP 30012
  • Phone: (770) 760-9360

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NPI Details

MD PAIN CARE PC is a specialist in Conyers, 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. MD PAIN CARE PC NPI is 1396053286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 SIGMAN RD NE
SUITE 100
CONYERS, GA
ZIP 30012-812
Phone: (770) 760-9360

The provider's authorized official is Dawne H Tunkel .
The authorized official title is Credentialing Direct and has the following contact phone number (865) 531-0176.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 2/26/2013.

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
1174400000XSpecialist1744OOOOOXGEORGIAYes
2332B00000XDurable Medical Equipment & Medical Supplies332BOOOOOXGEORGIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1058DBGMMEDICARE 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: 3/30/2025

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