Organization
ATLANTA PAIN & INJURY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILESH SUSHIL KOTHARI D.C. (CEO)
(770) 938-2625
Entity
Organization
Contact information
Practice address
800 VIRGINIA AVE, STE 200, HAPEVILLE, GA 30354-4302
(770) 938-2625
(404) 477-0906
Mailing address
1938 COBBLESTONE CIR NE, ATLANTA, GA 30319-4905
(770) 938-2625
(404) 477-0906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO08446
GA
207R00000X
Internal Medicine Physician
Primary
024649
GA
207R00000X
Internal Medicine Physician
044228
GA
Other
Enumeration date
01/28/2010
Last updated
02/07/2011
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