PAIN CENTER AT PIEDMONT LLC NPI 1700351400

NPI Information

NPI: 1700351400
Provider Name: PAIN CENTER AT PIEDMONT, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1050 EAGLES LANDING PKWY STE 300
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 216-8934
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PAIN CENTER AT PIEDMONT, LLC is an ambulatory surgical clinic center in Stockbridge, GA. PAIN CENTER AT PIEDMONT, LLC NPI is 1700351400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 EAGLES LANDING PKWY STE 300
STOCKBRIDGE, GA
ZIP 30281-250
Phone: (678) 216-8934

The provider's authorized official is Xavier Orlando Brent .
The authorized official title is Practice Manager and has the following contact phone number (678) 782-7999.

The enumeration date for this NPI number is 10/9/2018 and was last updated on 3/26/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

NPI Synchronization or Removal

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