Premier Interventional Pain Of Ohio Llc

NPI 1265855795 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1265855795
Enumeration Date 02/04/2014
Last Updated 02/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KERRY KERRY
Position PRESIDENT
Phone (770) 643-5501
Fax (404) 941-1304
Practice Location
793 W STATE ST
COLUMBUS OH, 43222-1551, US
Phone (770) 643-5501
Fax (404) 941-1304
Business Location
2655 NORTHWINDS PKWY
ALPHARETTA GA, 30009-2280, US
Phone (770) 643-5501
Fax (404) 941-1304
Toxanomy
Taxonomy Code 204E00000X
License State
License Number
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According to our database, Premier Interventional Pain Of Ohio Llc NPI is 1265855795, taxonomy code is 204E00000X Premier Interventional Pain Of Ohio Llc physically located at 793 W State St, Columbus OH, 43222-1551. NPI Number 1033115704 has the healthcare provider type.

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1265855795 NPI number is provided on an as is basis without warranty of any kind. 1265855795 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Interventional Pain Of Ohio Llc are for informational purposes only.