| NPI | 1174811996 |
|---|---|
| Doing Business As | PAIN CENTER OF GWINNETT |
| Entity Type | Organization |
| Authorized Contact | RAYMOND T ALEXANDER Owner/President 678-407-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 53982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR002925) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN198365) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |