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Organization

ATLANTA PAIN REHABILITATION MANAGEMENT, LLC

Active
Other names
atlanta pain rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JACOB KOSHY (MANAGER)
(404) 228-2587
Entity
Organization

Contact information

Practice address
2950 STONE HOGAN RD, BLDG 3 SUITE B, ATLANTA, GA 30331-2837
(404) 228-2587
Mailing address
2950 STONE HOGAN ROAD CONN,, BLDG 3 SUITE B, ATLANTA, GA 30331
(404) 228-2587

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
156887
GA

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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