Organization
ADVANCE PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY JONES PHD (DIRECTOR OF BEHAVORIAL HEALTH)
(678) 886-6247
Entity
Organization
Contact information
Practice address
2950 STONE HOGAN ROAD CONNECTOR, ATLANTA, GA 30331
(678) 886-6247
Mailing address
2950 STONE HOGAN ROAD CONNECTOR, ATLANTA, GA 30331
(678) 886-6247
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
050585
GA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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