Organization
DAVINCI PAIN AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J FREIBERGER MD (MEMBER/MANAGER)
(111) 111-1111
Entity
Organization
Contact information
Practice address
2720 MALL OF GEORGIA BLVD, BUFORD, GA 30519-8761
(111) 111-1111
(111) 111-1111
Mailing address
2720 MALL OF GEORGIA BLVD, BUFORD, GA 30519-8761
(111) 111-1111
(111) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
66370
GA
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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