# PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750859336
- **Authorized official:** KRISTEN COVINGTON (OFFICE MANAGER)
- **Authorized official phone:** (706) 396-7671

## Contact information

- **Practice address:** 4409 EVANS TO LOCKS RD, EVANS, GA 30809-3603
- **Practice address phone:** (706) 396-7671
- **Practice address fax:** (706) 228-4692
- **Mailing address:** 4409 EVANS TO LOCKS RD, EVANS, GA 30809-3603
- **Mailing address phone:** (706) 396-7671
- **Mailing address fax:** (706) 228-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 03/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6382350001 | DME PTAN | GA |