# ADVANCED PAIN MANAGEMENT GROUP, INC.

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

## Provider details

- **NPI number:** 1356840409
- **Authorized official:** MR. GEETHA MANCHIREDDY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (678) 565-9444

## Contact information

- **Practice address:** 4063 SALISBURY RD STE 100, JACKSONVILLE, FL 32216-6199
- **Practice address phone:** (904) 256-4573
- **Mailing address:** PO BOX 16421, GREENVILLE, SC 29606-7421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018