Organization
PAIN MANAGEMENT SPECIALISTS OF ATLANTA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BERINHOUT MD (OWNER)
77065061800
Entity
Organization
Contact information
Practice address
616A S 8TH ST, SUITE A, GRIFFIN, GA 30224-4214
(770) 506-6180
(770) 506-4686
Mailing address
165 N PARK TRL, SUITE 100, STOCKBRIDGE, GA 30281-6500
(770) 233-8570
(770) 228-7671
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
12/11/2013
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