# GOLDEN ISLES PAIN-MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAIN - MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932387446
- **Authorized official:** MR. CARL TYLER SHENKMAN MD (PRESIDENT)
- **Authorized official phone:** (912) 265-1357

## Contact information

- **Practice address:** 1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
- **Practice address phone:** (912) 265-1357
- **Practice address fax:** (912) 264-3405
- **Mailing address:** 1111 GLYNCO PKWY, STE 400, BRUNSWICK, GA 31525-7921
- **Mailing address phone:** (912) 265-1357
- **Mailing address fax:** (912) 264-3405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 036000 | GA | Yes |
| 2084N0400X | Neurology Physician | 036000 | GA | — |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 02/06/2008