Southern Comfort Pain & Wellness
NPI #1720728454 in Loganville, Georgia
Provider Information
- NPI Number
- 1720728454
- Entity Type
- Organization
- Organization Name
- Southern Comfort Pain & Wellness
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Mar 30, 2022
- Last Updated
- May 21, 2022
Practice Location
- Address
- 151 LEE BYRD RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2310
- Phone
- (678) 587-5993
Authorized Official
- Name
- MICHAEL KISSEL, MD
- Title
- OWNER
- Phone
- (770) 633-5513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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