Organization
ADVANCE PAIN MANAGEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA MANCHIREDDY MD (ANESTHESIA)
(404) 932-6172
Entity
Organization
Contact information
Practice address
2950 STONE HOGAN CONN SW, BLDG A, STE B, ATLANTA, GA 30331-2837
(404) 781-2800
(404) 844-2903
Mailing address
150 MEDICAL BLVD, STE C, STOCKBRIDGE, GA 30281-5053
(404) 932-6172
(404) 844-2903
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000943533B
—
GA
Enumeration date
02/08/2011
Last updated
05/21/2021
Update your record
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