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Organization

FEDERAL INJURY CENTER OF ATLANTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CRYSTAL STALLWORTH (PRACTICE MANAGER)
(404) 997-0167
Entity
Organization

Contact information

Practice address
1600 MACY DR, ROSWELL, GA 30076-6349
(678) 878-3334
(678) 878-3442
Mailing address
1600 MACY DR, ROSWELL, GA 30076-6349
(678) 878-3334
(678) 878-3334

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
01/08/2019
Last updated
01/08/2019
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