institution
Southern Pain Institute, Pc
Specialist in Atlanta, Georgia
NPI 1639584378

Southern Pain Institute, Pc is a Specialist based in Atlanta, GA. Southern Pain Institute, Pc practices in Atlanta, GA. The NPI Number for Southern Pain Institute, Pc is 1639584378 and holds a License No. 045425 (Georgia).

The current practice location address for Southern Pain Institute, Pc is 3886 Princeton Lakes Way Sw, Atlanta, GA and can be reached out via phone at 770-632-3730 and via fax at 770-632-3731.

Location: 3886 Princeton Lakes Way Sw, Atlanta, GA, 30374-0209
institution
Provider Profile Details
NPI Number
1639584378
Provider Name
Southern Pain Institute, Pc
Credential
Provider Entity Type
Organization
Address
3886 Princeton Lakes Way Sw, Atlanta, GA, 30374-0209
Phone Number
770-632-3730
Fax Number
770-632-3731
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP6066 01 GA MEDICARE ID
208VP0014X 01 GA PAIN MEDICINE-INTERVENTIONAL PAIN MEDICINE TAXONOMY
institution
Provider Business Practice Location Address Details
Address
3886 Princeton Lakes Way Sw
City
State
Zip
30331-5511
Phone Number
770-632-3730
Fax Number
770-632-3731
person
Provider Business Mailing Address Details
Address
3886 Princeton Lakes Way Sw
City
State
Zip
30331-5511
Phone Number
770-632-3730
Fax Number
770-632-3731
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
045425 (Georgia)
Definition
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.
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