LAKESIDE PAIN CENTER, P.C.
Organization (NPI-2)
Active
Pain Medicine, Interventional Pain Medicine
Provider Information
- NPI Number
1477566727- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 701 E US HIGHWAY 80 STE C, BLOOMINGDALE, GA, 313020078
- Phone
- (478) 475-9220
- Fax
- (478) 475-9201
Specialties & Taxonomies
Unknown
License: GA #042215
Physical Medicine & Rehabilitation
License: GA #042215
Pain Medicine, Interventional Pain Medicine
Primary License: GA #042215