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Organization
PAIN TREATMENT CENTERS OF GEORGIA LLC
Active
Organization
PAIN TREATMENT CENTERS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM PETROV-KONDRATOV MD (DIRECTOR/OWNER)
(912) 910-3777
Entity
Organization
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474-8853
(912) 910-3777
(912) 292-0005
Mailing address
604 W OGLETHORPE HWY, HINESVILLE, GA 31313-4415
(912) 910-3777
(912) 292-0005
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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