Organization · Type 2 NPI
My Chronic Care Management
Pain Clinic/Center · Marietta, GA
NPI number
1164045548
Active
Practice location
20 Whitlock Pl SW Ste 101
Marietta, GA 30064-3176
Fax (404) 591-8002
Mailing address
PO Box 2198
Kennesaw, GA 30156-9102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Pain Clinic/Center: Definition to come...
Another provider at this address
Other pain clinic/center providers in Marietta
About NPI 1164045548
My Chronic Care Management's National Provider Identifier is 1164045548, issued on May 20, 2020. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Marietta, GA. The record was last updated on Oct 20, 2020.