Davinci Pain and Wellness LLC

NPI #1750707246 in Buford, Georgia

Provider Information

NPI Number: 1750707246
Entity Type: Organization
Organization Name: Davinci Pain and Wellness LLC
Primary Specialty: Specialist
Enumeration Date: Mar 9, 2014
Last Updated: Mar 9, 2014

Practice Location

Address: 2720 MALL OF GEORGIA BLVD
City: Buford
State: Georgia
ZIP Code: 30519-8761
Phone: (111) 111-1111

Authorized Official

Name: DOUGLAS J FREIBERGER, MD
Title: MEMBER/MANAGER
Phone: (111) 111-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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