Organization
PHYSICIAN PAIN CARE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY WILLIAM RUBIN M.D. (MEDICAL DIRECTOR)
(770) 516-7880
Entity
Organization
Contact information
Practice address
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Mailing address
240 HERITAGE WALK, SUITE 101, WOODSTOCK, GA 30188-3875
(770) 516-7880
(770) 516-7870
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
030873
GA
Other
Enumeration date
07/24/2008
Last updated
06/25/2014
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