NPI 1750931168
Georgia Pain and Wellness Center, LLC
Practice location
- Address
- 100 Liberty Blvd STE 210, Canton, GA 30114-2852
- Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- Mailing address
- 455 Philip Blvd STE 140, Lawrenceville, GA 30046-8768
Authorised official
- Name
- Amit Patel
- Title
- Ceo
- Phone
- (770) 962-3642
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine Physician
Registry record
- NPI
- 1750931168
- Entity type
- Organization
- NPI issued
- 17 Sep 2019
- Record last updated
- 31 Mar 2021
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.