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Organization

DR. PAIN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIKLA R ROSH (PRACTICE DIRECTOR)
(404) 521-9992
Entity
Organization

Contact information

Practice address
5445 MERIDIAN MARKS RD NE STE 370, ATLANTA, GA 30342-4766
(770) 531-9992
(404) 531-9901
Mailing address
5445 MERIDIAN MARKS RD NE STE 370, ATLANTA, GA 30342-4766
(770) 531-9992
(404) 531-9901

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
032502
GA

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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