Organization
INNOVATIVE PAIN MANAGEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR JAMESON STOKES M.D. (CHIEF EXECUTIVE OFFICER)
(323) 316-8090
Entity
Organization
Contact information
Practice address
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B, ROSWELL, GA 30076-0927
(770) 817-7951
(770) 817-7975
Mailing address
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B, ROSWELL, GA 30076-0927
(770) 817-7951
(770) 817-7975
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
066905
GA
Other
Enumeration date
11/11/2012
Last updated
01/15/2014
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