Organization
PREMIER INTERVENTIONAL PAIN MANAGEMENT & ANESTHESIOLOGY, P.A.
Active
Other names
PREMIER PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL TERRY PERSAUD M.D. (OFFICER)
(229) 293-9555
Entity
Organization
Contact information
Practice address
2406 BEMISS RD STE C, VALDOSTA, GA 31602-1996
(229) 293-9555
Mailing address
4060 KILARNEY CIR, VALDOSTA, GA 31602-0815
(229) 293-9555
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
048175
GA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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