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Organization
PAIN MANAGEMENT SPECIALISTS OF ATLANTA PC
Active
Organization
PAIN MANAGEMENT SPECIALISTS 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 NORTH PARK TRAIL, SUITE 100, STOCKBRIDGE, GA 30281
(770) 506-1800
(770) 506-4686
Mailing address
165 NORTH PARK TRAIL, SUITE 100, STOCKBRIDGE, GA 30281
(770) 506-1800
(770) 506-4686
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351179600
DEPT OF LABOR
GA
Enumeration date
06/27/2006
Last updated
08/03/2011
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