Organization
ADVANCED PAIN MANAGEMENT GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEETHA MANCHIREDDY MD (MEDICAL DIRECTOR)
(678) 565-9444
Entity
Organization
Contact information
Practice address
4063 SALISBURY RD STE 100, JACKSONVILLE, FL 32216-6199
(904) 256-4573
Mailing address
PO BOX 16421, GREENVILLE, SC 29606-7421
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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