Southern Crescent Pain Management Llc in Stockbridge - Interventional Pain Medicine

Southern Crescent Pain Management Llc - NPI 1831374982

Southern Crescent Pain Management Llc is a Interventional Pain Medicine in Stockbridge, Georgia. Southern Crescent Pain Management Llc practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Southern Crescent Pain Management Llc is 1831374982. The last update date is 2008-01-08.

Southern Crescent Pain Management Llc's current location address is 147 N Park Trl, Stockbridge, Georgia. You can contact this provider via phone number 6782841232 and fax number 6782841296. The mailing address for Southern Crescent Pain Management Llc is 147 N Park Trl, Stockbridge, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Crescent Pain Management Llc
Address 147 N Park Trl, Stockbridge, Georgia
Phone Number 6782841232
Fax Number 6782841296
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Ogunyemi Ayotunde Olufemi
Credentials MD
Telephone Number 6782841232

NPI Number Detail

NPI Number 1831374982
Provider Enumeration Date 2008-01-08
Last Updated Date 2008-01-08

Provider Mailing Address Detail

Address 147 N Park Trl
City Stockbridge
State Georgia (GA)
Post Code 302817373
Phone Number 6782841232
Fax Number 6782841296

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Licence No 45566
Definition:
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p

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FAQs about Southern Crescent Pain Management Llc

What is the unique identifier code issued to Southern Crescent Pain Management Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Southern Crescent Pain Management Llc has been assigned the NPI (National Provider Identifier) 1831374982. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Southern Crescent Pain Management Llc?

The Southern Crescent Pain Management Llc is situated at 147 N Park Trl, in the city of Stockbridge, state of GA, with the zip code 302817373.

What is Southern Crescent Pain Management Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Southern Crescent Pain Management Llc is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1831374982 to Southern Crescent Pain Management Llc?

The Centers for Medicare & Medicaid Services originally issued the 1831374982 to Southern Crescent Pain Management Llc on 2008-01-08.

When was the information related to Southern Crescent Pain Management Llc most recently updated or refreshed?

The details pertaining to the Southern Crescent Pain Management Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-08.

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