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Organization
AAA PAIN MANAGEMENT
Active
Organization
AAA PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WIMSATT (OWNER)
(301) 732-4154
Entity
Organization
Contact information
Practice address
188 THOMAS JOHNSON DR, 102, FREDERICK, MD 21702-4505
(301) 732-4154
Mailing address
188 THOMAS JOHNSON DR, 102, FREDERICK, MD 21702-4505
(301) 732-4154
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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