Organization
HANOWELL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HANOWELL MD (OWNER)
(770) 385-4426
Entity
Organization
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 385-4426
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
061846
GA
208VP0014X
Interventional Pain Medicine Physician
061846
GA
Other
Enumeration date
07/27/2010
Last updated
02/08/2012
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