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Organization

PAIN CENTER OF VIRGINIA, PLLC

Active
Parent organization
PAIN CENTER OF VIRGINIA, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PAIN CENTER OF VIRGINIA, PLLC
Authorized official
JACQUELINE MARIE PENNINGTON (PRACTICE ADMINISTRATOR)
(304) 263-6165
Entity
Organization

Contact information

Practice address
19638 LEITERSBURG PIKE STE 204, HAGERSTOWN, MD 21742-1518
(240) 850-3210
(240) 513-4536
Mailing address
19638 LEITERSBURG PIKE STE 204, HAGERSTOWN, MD 21742-1518
(240) 850-3210
(240) 513-4536

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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