Organization
ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BODDEN (MANAGER)
(404) 789-0985
Entity
Organization
Contact information
Practice address
13190 HIGHWAY 92 STE 120, WOODSTOCK, GA 30188-4406
(770) 675-9134
(770) 926-9284
Mailing address
13190 HIGHWAY 92 STE 120, WOODSTOCK, GA 30188-4406
(770) 675-9134
(770) 926-9284
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
05/26/2020
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