Pain Treatment Centers of Georgia LLC
NPI #1134909542 in Richmond Hill, Georgia
Provider Information
- NPI Number
- 1134909542
- Entity Type
- Organization
- Organization Name
- Pain Treatment Centers of Georgia LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Oct 3, 2023
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 3760 US HIGHWAY 17 UNIT 11
- City
- Richmond Hill
- State
- Georgia
- ZIP Code
- 31324-3378
- Phone
- (912) 910-3777
Authorized Official
- Name
- VADIM PETROV-KONDRATOV, MD
- Title
- PHYSICIAN OWNER
- Phone
- (912) 910-3777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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