Organization
PAIN MANAGEMENT SPECIALIST OF ATLANTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BERINHOUT MD (OWNER)
(770) 506-1800
Entity
Organization
Contact information
Practice address
165 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-6509
(770) 506-1800
(770) 506-4686
Mailing address
440 PRIME PT, PEACHTREE CITY, GA 30269-3309
(770) 486-7470
(770) 486-7478
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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