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WOODSTOCK PAIN SOLUTIONS PC NPI 1891936282


NPI Information

NPI: 1891936282
Provider Name: WOODSTOCK PAIN SOLUTIONS, PC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
7914 HIGHWAY 92
SUITE 130
WOODSTOCK, GA
ZIP 30189
Phone: (770) 924-8438
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WOODSTOCK PAIN SOLUTIONS, PC is a pain clinic center in Woodstock, GA. WOODSTOCK PAIN SOLUTIONS, PC NPI is 1891936282. The provider is registered as an organization entity type.

The provider's business location address is:

7914 HIGHWAY 92
SUITE 130
WOODSTOCK, GA
ZIP 30189-238
Phone: (770) 924-8438
Fax: (770) 924-8431

The provider's authorized official is Larry T Mabine .
The authorized official title is Ceo and has the following contact phone number (770) 924-8438.

The enumeration date for this NPI number is 3/13/2009 and was last updated on 3/13/2009.


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
1261QP3300XClinic/CenterPain053994GEORGIAYes

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

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