Organization
PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H CAMPAGNA MD (MD/OWNER)
(229) 247-3300
Entity
Organization
Contact information
Practice address
3312 N OAK STREET EXT STE F, VALDOSTA, GA 31605-1065
(229) 247-3300
Mailing address
3312 N OAK ST EXT SUITE F, VALDOSTA, GA 31602
(229) 247-3300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
33806
GA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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