Organization
GEORGIA NEURO PAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL KURT AMOS RN (RN)
(770) 410-9116
Entity
Organization
Contact information
Practice address
4330 S LEE ST STE 600B, BUFORD, GA 30518-6197
(770) 410-9116
Mailing address
4330 S LEE ST STE 600B, BUFORD, GA 30518-6197
(770) 410-9116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/25/2022
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