Organization
WOODSTOCK PAIN SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY T MABINE M.D. (CEO)
(770) 924-8438
Entity
Organization
Contact information
Practice address
7914 HIGHWAY 92, SUITE 130, WOODSTOCK, GA 30189-5238
(770) 924-8438
(770) 924-8431
Mailing address
7914 HIGHWAY 92, SUITE 130, WOODSTOCK, GA 30189-5238
(770) 924-8438
(770) 924-8431
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
053994
GA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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