Jefferson Pain Clinic INC

NPI #1710156393 in Jefferson, Georgia

Provider Information

NPI Number
1710156393
Entity Type
Organization
Organization Name
Jefferson Pain Clinic INC
Primary Specialty
Pain Medicine - Pain Medicine
Enumeration Date
Feb 27, 2008
Last Updated
Feb 27, 2008

Practice Location

Address
1351 WASHINGTON ST
State
Georgia
ZIP Code
30549-2879
Phone
(706) 387-0027

Authorized Official

Name
MR. AHMAD GHADAMYARI
Title
PRESIDENT
Phone
(706) 387-0027

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine

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