# ATLANTA PAIN REHABILITATION MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** atlanta pain rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689918310
- **Authorized official:** MR. JACOB KOSHY (MANAGER)
- **Authorized official phone:** (404) 228-2587

## Contact information

- **Practice address:** 2950 STONE HOGAN RD, BLDG 3 SUITE B, ATLANTA, GA 30331-2837
- **Practice address phone:** (404) 228-2587
- **Mailing address:** 2950 STONE HOGAN ROAD CONN,, BLDG 3 SUITE B, ATLANTA, GA 30331
- **Mailing address phone:** (404) 228-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 156887 | GA | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/19/2012