Individual provider · Type 1 NPI
Vadim Petrov-Kondratov, MD
Interventional Pain Medicine Physician · Hinesville, GA
Practice location
604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Fax (912) 292-0005
Other practice locations
- 1907 Sunset Blvd, Jesup, GA 31545-7813 · (912) 910-3777
- 3760 US Highway 17 Ste 11, Richmond Hill, GA 31324-3378 · (912) 910-3777
- 6606 Abercorn St Ste 101, Savannah, GA 31405-5831 · (912) 910-3777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 88065 (GA) |
| Interventional Pain Medicine Physician | 208VP0014X | E10674 (AR) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 88065 (GA) |
Interventional Pain Medicine Physician: 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.
4 other providers at this address
- Pain Treatment Centers of Georgia LLCClinic/Center Hinesville, GA NPI 1548931249
- Britney Mae Ellis, NP-CFamily Nurse Practitioner Hinesville, GA NPI 1891378683
- Richard Eugene Gieck, PA-CPhysician Assistant Hinesville, GA NPI 1023282183
- Wendy Marie BradyNurse Practitioner Hinesville, GA NPI 1427567304
About NPI 1891061040
Vadim Petrov-Kondratov, MD's National Provider Identifier is 1891061040, issued on Mar 31, 2012. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Hinesville, GA. The record was last updated on May 28, 2025.