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Organization
ADVANCED PAIN MANAGEMENT GROUP, INC.
Active
Organization
ADVANCED PAIN MANAGEMENT GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEETHA MANCHIREDDY MD (MEDICAL DIRECTOR)
(678) 565-9444
Entity
Organization
Contact information
Practice address
4063 SALISBURY RD STE 100, JACKSONVILLE, FL 32216-6199
(904) 256-4573
Mailing address
PO BOX 16421, GREENVILLE, SC 29606-7421
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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