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Craniofacial Pain Center Of Georgia PC

Durable Medical Equipment & Medical Supplies, Customized Equipment in Atlanta, GA. Organization (NPI-2).

NPI number1669990495
StatusActive
Last updated in NPPESAug 31, 2017

Details

NPI
1669990495
Entity type
Organization (NPI-2)
Legal business name
Craniofacial Pain Center Of Georgia PC
Organization subpart
No
Enumeration date
Aug 31, 2017
Last updated
Aug 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment–GAYes

Practice location

200 Ashford Ctr N Ste 195
Atlanta, GA 30338-2668

Phone 678-899-6076 · Fax 678-984-9558

Mailing address

200 Ashford Ctr N Ste 195
Atlanta, GA 30338-2668

Phone 678-899-6076 · Fax 678-984-9558

Authorized official

Mayoor Patel
Owner
6788996076

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