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Organization
PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC
Active
Organization
PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN COVINGTON (OFFICE MANAGER)
(706) 396-7671
Entity
Organization
Contact information
Practice address
4409 EVANS TO LOCKS RD, EVANS, GA 30809-3603
(706) 396-7671
(706) 228-4692
Mailing address
4409 EVANS TO LOCKS RD, EVANS, GA 30809-3603
(706) 396-7671
(706) 228-4692
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6382350001
DME PTAN
GA
Enumeration date
11/13/2018
Last updated
03/26/2024
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