# MID ATLANTIC PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1861818270
- **Authorized official:** BRIAN P WOODS MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (214) 687-0015

## Contact information

- **Practice address:** 6355 WALKER LN, SUITE 200, ALEXANDRIA, VA 22310-3245
- **Practice address phone:** (301) 829-7683
- **Practice address fax:** (301) 829-7694
- **Mailing address:** PO BOX 610624, DALLAS, TX 75261-0624
- **Mailing address phone:** (800) 394-4445
- **Mailing address fax:** (706) 650-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/07/2019