Organization
PAIN PHYSICIANS ANESTHESIA, LLC
Active
Organization
PAIN PHYSICIANS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED SHAZAD WADA M.D. (MEMBER)
(404) 273-6996
Entity
Organization
Contact information
Practice address
3333 OLD MILTON PARKWAY, SUITE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Mailing address
3333 OLD MILTON PARKWAY, SUITE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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