Organization
ACWORTH PAIN MANAGEMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MERRICK STURRUP (PRESIDENT)
(678) 388-7778
Entity
Organization
Contact information
Practice address
5399 BELLS FERRY RD, SUITE 180, ACWORTH, GA 30102-7546
(678) 388-7778
(678) 388-7779
Mailing address
5399 BELLS FERRY RD, SUITE 180, ACWORTH, GA 30102-7546
(678) 388-7778
(678) 388-7779
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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