Organization
LIFE BALANCE PAIN CARE
Active
Other names
Life Balance Pain Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD SCOTT BOOTSTAYLOR MD (EMPLOYEE)
(404) 275-3121
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE STE 345A, ATLANTA, GA 30312-4205
(404) 275-3121
(404) 480-3876
Mailing address
285 BOULEVARD NE STE 345A, ATLANTA, GA 30312-4205
(404) 275-3121
(404) 480-3876
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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