South Atlanta Neurology & Pain Clinic, Pc in Fayetteville - Pain Medicine

South Atlanta Neurology & Pain Clinic, Pc - NPI 1639331150

South Atlanta Neurology & Pain Clinic, Pc is a Pain Medicine in Fayetteville, Georgia. South Atlanta Neurology & Pain Clinic, Pc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for South Atlanta Neurology & Pain Clinic, Pc is 1639331150. The last update date is 2011-01-19.

South Atlanta Neurology & Pain Clinic, Pc's current location address is Po Box 1198, Fayetteville, Georgia. You can contact this provider via phone number 7705077359 and fax number 7705078390. The mailing address for South Atlanta Neurology & Pain Clinic, Pc is Po Box 1198, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Atlanta Neurology & Pain Clinic, Pc
Address Po Box 1198, Fayetteville, Georgia
Phone Number 7705077359
Fax Number 7705078390
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PRES
Authorized Official Name Choi Byung-Il Brice
Credentials M.D.
Telephone Number 7705077359

NPI Number Detail

NPI Number 1639331150
Provider Enumeration Date 2008-06-26
Last Updated Date 2011-01-19

Provider Mailing Address Detail

Address Po Box 1198
City Fayetteville
State Georgia (GA)
Post Code 302146198
Phone Number 7705077359
Fax Number 7705078390

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2084P2900X
Definition:
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000783989F GA --
1174554455 GA INDIVIDUAL NPI #

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FAQs about South Atlanta Neurology & Pain Clinic, Pc

What is the unique 10-digit identification code issued to South Atlanta Neurology & Pain Clinic, Pc by the Centers for Medicare & Medicaid Services?

The South Atlanta Neurology & Pain Clinic, Pc has been assigned the NPI (National Provider Identifier) 1639331150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where South Atlanta Neurology & Pain Clinic, Pc is located?

The South Atlanta Neurology & Pain Clinic, Pc is situated at the following address: Po Box 1198, Fayetteville, GA, 302146198.

What is the South Atlanta Neurology & Pain Clinic, Pc's specialty and taxonomy code?

The South Atlanta Neurology & Pain Clinic, Pc's specialty is Pain Medicine, and the corresponding taxonomy code is 2084P2900X.

On what date did the South Atlanta Neurology & Pain Clinic, Pc receive the assignment of its 1639331150 from the Centers for Medicare & Medicaid Services?

The South Atlanta Neurology & Pain Clinic, Pc was issued its 1639331150 by the Centers for Medicare & Medicaid Services on 2008-06-26.

As of what date was the information pertaining to South Atlanta Neurology & Pain Clinic, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to South Atlanta Neurology & Pain Clinic, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-19.

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