# GEORGIA PAIN MANAGEMENT GROUP LLC

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

## Provider details

- **NPI number:** 1992162697
- **Authorized official:** STACY SPAGNARDI (MANAGER)
- **Authorized official phone:** (770) 672-6918

## Contact information

- **Practice address:** 1475 TERRELL MILL RD SE, STE 108, MARIETTA, GA 30067-6049
- **Practice address phone:** (770) 672-6918
- **Mailing address:** 1475 TERRELL MILL RD SE, STE 108, MARIETTA, GA 30067-6049
- **Mailing address phone:** (770) 672-6918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016
