Organization
MD PAIN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE H TUNKEL CPC, CMPM, CPMCN (CREDENTIALING DIRECT)
(865) 531-0176
Entity
Organization
Contact information
Practice address
1301 SIGMAN RD NE, SUITE 100, CONYERS, GA 30012-3812
(770) 760-9360
Mailing address
1301 SIGMAN RD NE, SUITE 100, CONYERS, GA 30012-3812
(770) 760-9360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1744OOOOOX
GA
332B00000X
Durable Medical Equipment & Medical Supplies
332BOOOOOX
GA
Other
Enumeration date
09/14/2010
Last updated
02/26/2013
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