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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

NPI # 1194833970
LBN Legal business name SOUTHEAST REGIONAL PAIN CTR PC
Authorized official KENNETH BARNGROVER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2006
Last updated 02/14/2017 - About 9 years ago
Identifiers
GA License # 027027
GA Medicaid 000296777E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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