Pain Centers Of Atlanta
Clinic/Center, Pain in Doraville, GA. Organization (NPI-2).
NPI number1699214965
StatusActive
Last updated in NPPESFeb 19, 2017
Details
- NPI
- 1699214965
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Centers Of Atlanta
- Organization subpart
- No
- Enumeration date
- Feb 19, 2017
- Last updated
- Feb 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | 409 | GA | Yes |
Practice location
4535 Winters Chapel RdSuite A
Doraville, GA 30360-2705
Phone 678-580-1862 · Fax 678-580-1648
Mailing address
4535 Winters Chapel RdSuite A
Doraville, GA 30360-2705
Phone 678-580-1862 · Fax 678-580-1648
Authorized official
Frank Jefferson Cook
Owner
4049151405
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