Organization
PAIN SOUTH PA
Active
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
Update your record
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