NPI 1497440911

Consultants in Pain Medicine, LLC

Organisation Interventional Pain Medicine Physician Waycross, GA

Practice location

Address: 1218 Alice St, Waycross, GA 31501-4525
Phone: (912) 590-0973
Fax: (912) 590-0180
Mailing address: 5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

Authorised official

Name: Alicia M Groth
Title: Credentialing Manager
Phone: (904) 223-3321

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Georgia →

Registry record

NPI: 1497440911
Entity type: Organization
NPI issued: 10 Apr 2023
Record last updated: 10 Apr 2023

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.