Organization
COMPREHENSIVE PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMINI A DAVE MD (PRESIDENT)
(770) 948-6824
Entity
Organization
Contact information
Practice address
3870 MEDICAL PARK DRIVE, AUSTELL, GA 30106-1110
(770) 948-6824
(770) 948-6804
Mailing address
P.O. BOX 629, AUSTELL, GA 30168-1006
(770) 948-6824
(770) 948-6804
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
01/12/2011
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