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Contact Information

SACKDINANH N KEOMAHATHAI, MD
650 HENDERSON DR STE 409
CARTERSVILLE, GA30120-3758
 Phone: 470-274-2800
 Fax: 800-501-3088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SACKDINANH N KEOMAHATHAI · (Male)

NPI # 1083775670
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 06/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 051054
Hospital affiliation(s)
  • WELLSTAR KENNESTONE HOSPITAL - (Acute Care)
    677 CHURCH STREET
    MARIETTA, GA 30060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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