Organization
SOUTHEASTERN PAIN CONSULTANTS
Active
Organization
SOUTHEASTERN PAIN CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PAUL IVES M.D. (CEO)
(678) 377-9326
Entity
Organization
Contact information
Practice address
1976 MAIN ST E, SUITE C, SNELLVILLE, GA 30078-6460
(770) 982-2099
(770) 982-9045
Mailing address
285 HELENS MANOR DR, LAWRENCEVILLE, GA 30045-3469
(678) 377-9326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
11/06/2024
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