Organization
INTERVENTIONAL PAIN SPECIALISTS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACKDINANH NOK KEOMAHATHAI MD (OWNER)
(470) 274-2800
Entity
Organization
Contact information
Practice address
650 HENDERSON DR STE 409, CARTERSVILLE, GA 30120-3758
(470) 274-2800
(800) 501-3088
Mailing address
650 HENDERSON DR STE 409, CARTERSVILLE, GA 30120-3758
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
06/03/2024
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