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Organization
PAIN MANAGEMENT SPECIALIST OF ATLANTA PC
Active
Organization
PAIN MANAGEMENT SPECIALIST OF ATLANTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BERINHOUT MD (OWNER)
(770) 506-1800
Entity
Organization
Contact information
Practice address
165 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-6509
(770) 506-1800
(770) 506-4686
Mailing address
440 PRIME PT, PEACHTREE CITY, GA 30269-3309
(770) 486-7470
(770) 486-7478
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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