PAIN TREATMENT CENTERS OF GEORGIA LLC NPI 1134909542

NPI Information

NPI: 1134909542
Provider Name: PAIN TREATMENT CENTERS OF GEORGIA LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3760 US HIGHWAY 17 UNIT 11
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 910-3777
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PAIN TREATMENT CENTERS OF GEORGIA LLC is a pain clinic center in Richmond Hill, GA. PAIN TREATMENT CENTERS OF GEORGIA LLC NPI is 1134909542. The provider is registered as an organization entity type.

The provider's business location address is:

3760 US HIGHWAY 17 UNIT 11
RICHMOND HILL, GA
ZIP 31324-378
Phone: (912) 910-3777
Fax: (912) 292-0005

The provider's authorized official is Vadim Petrov-kondratov .
The authorized official title is Physician Owner and has the following contact phone number (912) 910-3777.

The enumeration date for this NPI number is 10/3/2023 and was last updated on 10/3/2023.

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	261QP3300X	Clinic/Center	Pain			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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