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Organization
PAIN RELIEF NETWORK OF THE SOUTH
Active
Organization
PAIN RELIEF NETWORK OF THE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ROBERTS (PRESIDENT)
(770) 879-0064
Entity
Organization
Contact information
Practice address
2 RAVINIA DR, SUITE 500, ATLANTA, GA 30346-2104
(678) 855-7147
(770) 413-1197
Mailing address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 855-7147
(770) 413-1197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2082
TN
207Q00000X
Family Medicine Physician
Primary
33908
GA
207Q00000X
Family Medicine Physician
DO.1081
AL
208VP0000X
Pain Medicine Physician
33908
GA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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