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Organization
LIFE BALANCE PAIN CARE
Active
Organization
LIFE BALANCE PAIN CARE
Active
Other names
Life Balance Pain Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD SCOTT BOOTSTAYLOR MD (EMPLOYEE)
(404) 275-3121
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE STE 345A, ATLANTA, GA 30312-4205
(404) 275-3121
(404) 480-3876
Mailing address
285 BOULEVARD NE STE 345A, ATLANTA, GA 30312-4205
(404) 275-3121
(404) 480-3876
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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