Organization
SOUTHERN COMFORT PAIN & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KISSEL MD (OWNER)
(770) 633-5513
Entity
Organization
Contact information
Practice address
151 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(678) 587-5993
(678) 587-5997
Mailing address
151 LEE BYRD RD, LOGANVILLE, GA 30052-2310
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
05/21/2022
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