NPI 1003523721

Life Balance Pain Care

Organisation Pain Medicine Physician Atlanta, GA

Practice location

Address: 285 Boulevard NE STE 345a, Atlanta, GA 30312-4205
Phone: (404) 275-3121
Fax: (404) 480-3876

Authorised official

Name: Brad Scott Bootstaylor
Title: Employee
Phone: (404) 275-3121

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Georgia →

Registry record

NPI: 1003523721
Entity type: Organization
NPI issued: 2 Nov 2022
Record last updated: 2 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.