| NPI | 1497858971 |
|---|---|
| Former Legal Business Name | GEORGIA PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | GAYLE HAWKINS Director Of Operations 770-590-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 00049726) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-10-22 |