Organization
TRINITY PAIN RELIEF CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIA C FRASER-SWORD DC (OWNER)
(770) 478-1300
Entity
Organization
Contact information
Practice address
9434 S MAIN ST, SUITE 1100, JONESBORO, GA 30236-8711
(770) 478-1300
(770) 478-9385
Mailing address
9434 SOUTH MAIN STREET, SUITE 1100, JONESBORO, GA 30236-6092
(770) 478-1300
(770) 478-9385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIR006745
GA
111N00000X
Chiropractor
CHIR007730
GA
207Q00000X
Family Medicine Physician
19354
GA
208100000X
Physical Medicine & Rehabilitation Physician
PT006876
GA
208600000X
Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/28/2007
Last updated
02/21/2020
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