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Contact Information

SOUTHEAST REGIONAL PAIN CTR PC
5669 WHITESVILLE ROAD
COLUMBUS, GA31904
 Phone: 706-571-7246
 Fax: 706-571-8820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SOUTHEAST REGIONAL PAIN CTR PC · (Female)

NPI # 1194833970
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2006
Last updated 02/14/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 027027
  • GA Medicaid 000296777E
Hospital affiliation(s) Not Available
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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