Organization
PAIN AND NEUROLOGY LLC
Active
Other names
Mid GA Pain MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BOLTJA MD (OWNER)
(478) 361-0251
Entity
Organization
Contact information
Practice address
1445 GEORGIA AVE STE 3, MACON, GA 31201-7612
(478) 361-0251
Mailing address
1445 GEORGIA AVE STE 3, MACON, GA 31201-7612
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/12/2025
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