Organization
THE PAIN MANAGEMENT CLINIC OF WOODSTOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CAMBURAKO (OWNER)
(770) 534-2300
Entity
Organization
Contact information
Practice address
3 WASHINGTON AVE STE C, GAINESVILLE, GA 30501-4100
(770) 534-2300
(770) 534-2900
Mailing address
3 WASHINGTON AVE STE C, GAINESVILLE, GA 30501-4100
(770) 534-2300
(770) 534-2900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
058478
GA
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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