Organization
THE HEMLOCK PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TAFOR MD (PRESIDENT)
(478) 219-3745
Entity
Organization
Contact information
Practice address
109 FAIRVIEW PARK DR STE B, DUBLIN, GA 31021-2562
(478) 219-3745
Mailing address
109 FAIRVIEW PARK DR STE B, DUBLIN, GA 31021-2562
(478) 219-3745
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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