Organization
PAIN PHYSICIANS OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA MINICOZZI (PRACTICE MANAGER)
(770) 391-3979
Entity
Organization
Contact information
Practice address
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005
(770) 391-3979
(770) 391-0020
Mailing address
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208VP0014X
—
GA
Enumeration date
06/16/2018
Last updated
06/16/2018
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