# ADVANCE PAIN MANAGEMENT LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013213073
- **Authorized official:** GEETHA MANCHIREDDY MD (ANESTHESIA)
- **Authorized official phone:** (404) 932-6172

## Contact information

- **Practice address:** 2950 STONE HOGAN CONN SW, BLDG A, STE B, ATLANTA, GA 30331-2837
- **Practice address phone:** (404) 781-2800
- **Practice address fax:** (404) 844-2903
- **Mailing address:** 150 MEDICAL BLVD, STE C, STOCKBRIDGE, GA 30281-5053
- **Mailing address phone:** (404) 932-6172
- **Mailing address fax:** (404) 844-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 05/21/2021