Organization
EAST GEORGIA PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOVIE NICHOLE DUKE (OFFICE MANAGER)
(770) 784-3862
Entity
Organization
Contact information
Practice address
4119 TATE ST NE, COVINGTON, GA 30014-2554
(770) 784-3862
(770) 784-5989
Mailing address
4119 TATE ST NE, COVINGTON, GA 30014-2554
(770) 784-3862
(770) 784-5989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052044
GA
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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