Organization
SOUTHERN INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIMILIAN SHOKAT D.O. (MEDICAL DIRECTOR)
(229) 226-2234
Entity
Organization
Contact information
Practice address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
Mailing address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
01/31/2020
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