Whalio Doctors

NPI 1861504417

Jaimini a Dave, MD

Practitioner Pain Medicine Physician Austell, GA

Practice location

Address
3870 Medical Park Drive Suite 200, Austell, GA 30106-1110
Phone
(770) 948-6824
Fax
(770) 948-6804
Mailing address
P.O. Box 629, Austell, GA 30168-1006

Registered specialties (2)

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 041103 (GA)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 041103 (GA)

Registry record

NPI
1861504417
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
24 Jan 2011

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.