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PAIN ASSOCIATES OF SOUTH GEORGIA LLC

Active
Other names
Pain Associates of South Georgia
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J LUPI DO (MEDICAL DIRECTOR)
(912) 267-9000
Entity
Organization

Contact information

Practice address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(912) 267-9000
(912) 267-9028
Mailing address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(912) 490-7246
(912) 490-7247

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
038152
GA
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
01/27/2015
Last updated
01/28/2015
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