Organization
CHRONIC PAIN CLINICS OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY STUDENIC (CEO)
(404) 784-7722
Entity
Organization
Contact information
Practice address
1395 S MARIETTA PKWY SE, BLDG 100 STE 101, MARIETTA, GA 30067-4440
(770) 425-8700
(770) 425-8740
Mailing address
1395 S MARIETTA PKWY SE, BLDG 100 STE 101, MARIETTA, GA 30067-4440
(770) 425-8700
(770) 425-8740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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