Organization
ROSWELL PAIN SPECIALISTS
Active
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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