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Organization

ROSWELL PAIN SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAMON C KIMES SR. MD (DOCTOR/DIRECTOR)
(404) 759-9658
Entity
Organization

Contact information

Practice address
1300 UPPER HEMBREE RD SUITE B1 BUILDING 100, ROSWELL, GA 30076
(678) 736-7680
(888) 537-5362
Mailing address
1300 UPPER HEMBREE RD SUITE B1 BUILDING 100, ROSWELL, GA 30076
(678) 736-7680
(888) 537-5362

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
050322
GA
208VP0014X
Interventional Pain Medicine Physician
261QP3300X
Pain Clinic/Center
Primary
050322
GA

Other

Enumeration date
07/01/2011
Last updated
08/08/2019
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