Center For Wellness And Pain Care Of Las Vegas INC
Clinic/Center, Pain in Marietta, GA. Organization (NPI-2).
NPI number1659189363
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1659189363
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Wellness And Pain Care Of Las Vegas INC
- Organization subpart
- Yes
- Enumeration date
- Dec 27, 2024
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | – | – | Yes |
Other names
- Center For Wellness And Pain Care Of America (Doing Business As)
Practice location
780 Canton Rd Ne Ste 330Marietta, GA 30060-7289
Phone 888-387-0080
Mailing address
3495 Buckhead Loop Ne # 19018Atlanta, GA 30326-1528
Authorized official
Neville Campbell
Ceo
7024769700
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