Organization
LIFESTYLE PAIN MANAGEMENT AND WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA MILLINGTON MD (CEO)
(470) 395-3618
Entity
Organization
Contact information
Practice address
1982 MAIN ST E STE C, SNELLVILLE, GA 30078-6461
(470) 395-3618
(770) 979-5155
Mailing address
1982 MAIN ST E STE C, SNELLVILLE, GA 30078-6461
(470) 395-3618
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66224
LICENSE NUMBER
GA
Enumeration date
06/19/2020
Last updated
06/19/2020
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