Organization
PREMIER CHRONIC PAIN CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASEAN T HODGE (CEO)
(404) 523-0111
Entity
Organization
Contact information
Practice address
619 BOULEVARD NE, ATLANTA, GA 30308-2701
(404) 523-0111
(888) 291-6290
Mailing address
619 BOULEVARD NE, ATLANTA, GA 30308-2701
(404) 523-0111
(888) 291-6290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
07/18/2011
Last updated
01/28/2014
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