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Organization
CRANIOFACIAL PAIN CENTER OF GEORGIA PC
Active
Organization
CRANIOFACIAL PAIN CENTER OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYOOR PATEL DDS (OWNER)
(678) 899-6076
Entity
Organization
Contact information
Practice address
200 ASHFORD CTR N STE 195, ATLANTA, GA 30338-2668
(678) 899-6076
(678) 984-9558
Mailing address
200 ASHFORD CTR N STE 195, ATLANTA, GA 30338-2668
(678) 899-6076
(678) 984-9558
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
GA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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