# PAIN RELIEF NETWORK OF THE SOUTH

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

## Provider details

- **NPI number:** 1841507621
- **Authorized official:** DIANE ROBERTS (PRESIDENT)
- **Authorized official phone:** (770) 879-0064

## Contact information

- **Practice address:** 2 RAVINIA DR, SUITE 500, ATLANTA, GA 30346-2104
- **Practice address phone:** (678) 855-7147
- **Practice address fax:** (770) 413-1197
- **Mailing address:** 374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
- **Mailing address phone:** (678) 855-7147
- **Mailing address fax:** (770) 413-1197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2082 | TN | — |
| 207Q00000X | Family Medicine Physician | 33908 | GA | Yes |
| 207Q00000X | Family Medicine Physician | DO.1081 | AL | — |
| 208VP0000X | Pain Medicine Physician | 33908 | GA | — |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 09/01/2010