Organization
ADVANCE PAIN MANAGEMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVINDER MANCHIREDDY (CFO)
(404) 781-2800
Entity
Organization
Contact information
Practice address
6131 S NORCROSS TUCKER RD, SUITE 700, NORCROSS, GA 30093-5536
(404) 781-2800
(678) 244-9160
Mailing address
150 MEDICAL BLVD, SUITE C, STOCKBRIDGE, GA 30281-5053
(404) 932-6172
(678) 244-9160
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
050585
GA
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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