Organization · Type 2 NPI
Pain Management & Wellness Centers of Georgia, LLC
Pain Clinic/Center · Tucker, GA
NPI number
1386903672
Active
Practice location
4905 Lavista Rd, Suite B
Tucker, GA 30084-4409
Fax (770) 680-5754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 00228865 (GA) |
| Pain Clinic/Center Primary | 261QP3300X | 00228865 (GA) |
Pain Clinic/Center: Definition to come...
Other pain clinic/center providers in Tucker
About NPI 1386903672
Pain Management & Wellness Centers of Georgia, LLC's National Provider Identifier is 1386903672, issued on May 8, 2012. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Tucker, GA. The record was last updated on Jun 24, 2015.