# PAIN CENTER OF VIRGINIA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAIN CENTER OF VIRGINIA, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992644124
- **Legal business name:** PAIN CENTER OF VIRGINIA, PLLC
- **Authorized official:** JACQUELINE MARIE PENNINGTON (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (304) 263-6165

## Contact information

- **Practice address:** 19638 LEITERSBURG PIKE STE 204, HAGERSTOWN, MD 21742-1518
- **Practice address phone:** (240) 850-3210
- **Practice address fax:** (240) 513-4536
- **Mailing address:** 19638 LEITERSBURG PIKE STE 204, HAGERSTOWN, MD 21742-1518
- **Mailing address phone:** (240) 850-3210
- **Mailing address fax:** (240) 513-4536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2026
- **Last updated:** 03/25/2026