Organization
PAIN SOUTH PA
Active
Other names
Pain South PA dba Hot Springs Interventional Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB E ABRAHAM MD (OFFICER)
(501) 321-4772
Entity
Organization
Contact information
Practice address
1 MERCY LN, SUITE 304, HOT SPRINGS, AR 71913-6442
(501) 321-4772
(501) 321-3543
Mailing address
1 MERCY LN, SUITE 304, HOT SPRINGS, AR 71913-6442
(501) 321-4772
(501) 321-3543
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121454001
—
AR
05
—
125247001
—
AR
Enumeration date
11/17/2005
Last updated
11/05/2008
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