Organization
PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HARRISON CAMPAGNA (MD)
(229) 247-3300
Entity
Organization
Contact information
Practice address
2418 N OAK ST, SUITE B 1, VALDOSTA, GA 31602-2576
(229) 247-3300
(229) 247-1131
Mailing address
2418 N OAK ST, SUITE B 1, VALDOSTA, GA 31602-2576
(229) 247-3300
(229) 247-1131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046358B
—
GA
Enumeration date
06/02/2008
Last updated
09/17/2008
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