Organization
ADVANCE PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIEN QUACH M.D. (PHYSICIAN)
(404) 831-2786
Entity
Organization
Contact information
Practice address
2270 OAK RD, SNELLVILLE, GA 30078-2355
(404) 831-2786
Mailing address
PO BOX 88456, ATLANTA, GA 30356-8456
(404) 831-2786
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
054822
GA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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