| Pain Treatment Centers Of Georgia Llc | |
|
6606 Abercorn St Savannah GA 31405-5817 | |
| (912) 910-3777 | |
| (912) 292-0005 |
| Full Name | Pain Treatment Centers Of Georgia Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6606 Abercorn St, Savannah, Georgia |
| Authorized Official Name and Position | Vadim Petrov-kondratov (OWNER) |
| Authorized Official Contact | 9129103777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Treatment Centers Of Georgia Llc 604 W Oglethorpe Hwy Hinesville GA 31313-4415 Ph: (912) 910-3777 | Pain Treatment Centers Of Georgia Llc 6606 Abercorn St Savannah GA 31405-5817 Ph: (912) 910-3777 |
| NPI Number | 1619702792 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619702792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
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