Organization
PRIMACARE PAIN & REHAB.,LLC
Active
Organization
PRIMACARE PAIN & REHAB.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHAMIS W IBRAHIM D.C. (CLINIC DIRECTOR)
(404) 284-5556
Entity
Organization
Contact information
Practice address
4467 GLENWOOD RD, SUITE 2, DECATUR, GA 30032-5014
(404) 284-5556
(404) 284-5557
Mailing address
4467 GLENWOOD RD, SUITE 2, DECATUR, GA 30032-5014
(404) 284-5556
(404) 284-5557
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
019313
GA
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up