Organization
CAPITAL CITY PAIN CARE LLC
Active
Organization
CAPITAL CITY PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH E BLAKE MD (PRESIDENT)
(614) 442-0700
Entity
Organization
Contact information
Practice address
3600 OLENTANGY RIVER ROAD, BUILDING 480, COLUMBUS, OH 43214
(614) 442-0700
(614) 442-0701
Mailing address
3600 OLENTANGY RIVER ROAD, BUILDING 480, COLUMBUS, OH 43214
(614) 442-0700
(614) 442-0701
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
3582586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476217
—
OH
Enumeration date
12/28/2010
Last updated
04/26/2015
Update your record
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