Organization
PAIN MANAGEMENT SPECIALISTS 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 NORTH PARK TRAIL, SUITE 100, STOCKBRIDGE, GA 30281
(770) 506-1800
(770) 506-4686
Mailing address
165 NORTH PARK TRAIL, SUITE 100, STOCKBRIDGE, GA 30281
(770) 506-1800
(770) 506-4686
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351179600
DEPT OF LABOR
GA
Enumeration date
06/27/2006
Last updated
08/03/2011
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