Premier Pain Management INC

NPI #1427322528 in Lilburn, Georgia

Provider Information

NPI Number: 1427322528
Entity Type: Organization
Organization Name: Premier Pain Management INC
Primary Specialty: Specialist
Enumeration Date: Mar 7, 2012
Last Updated: Mar 7, 2012

Practice Location

Address: 3993 LAWRENCEVILLE HWY NW
Address 2: SUITE 110
City: Lilburn
State: Georgia
ZIP Code: 30047-2897
Phone: (954) 674-3260

Authorized Official

Name: MR. LARRY WEBMAN
Title: PRESIDENT
Phone: (954) 674-3260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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