Gwinnett Interventional Pain, LLC
Anesthesiology, Pain Medicine in Suwanee, GA. Organization (NPI-2).
NPI number1609196971
StatusActive
Last updated in NPPESJun 9, 2010
Details
- NPI
- 1609196971
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Interventional Pain, LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2010
- Last updated
- Jun 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
Practice location
1090 River Laurel DrSuwanee, GA 30024-6932
Phone 770-979-9996 · Fax 770-979-1202
Mailing address
1090 River Laurel DrSuwanee, GA 30024-6932
Phone 770-979-9996 · Fax 770-979-1202
Authorized official
Judy Chesin
Administrator
7709799996
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