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COMPREHENSIVE PAIN MANAGEMENT PC NPI 1871730085


NPI Information

NPI: 1871730085
Provider Name: COMPREHENSIVE PAIN MANAGEMENT, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
110 EVANS MILL DRIVE
STE 803
DALLAS, GA
ZIP 30157
Phone: (770) 948-6824
Get Directions

COMPREHENSIVE PAIN MANAGEMENT, PC is an interventional pain medicine pain medicine in Dallas, 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. COMPREHENSIVE PAIN MANAGEMENT, PC NPI is 1871730085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 EVANS MILL DRIVE
STE 803
DALLAS, GA
ZIP 30157-642
Phone: (770) 948-6824
Fax: (770) 948-6804

The provider's authorized official is Jaimini A Dave .
The authorized official title is President and has the following contact phone number (770) 948-6824.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 1/12/2011.


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
1208VP0000XPain MedicinePain MedicineNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

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
1GRP7214MEDICARE PIN
2GRP7214MEDICARE 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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