PAIN RELIEF NETWORK OF THE SOUTH
Psychiatric at Ravinia Dr, Atlanta, GA

License number
Georgia 33908
Category
Osteopathic Medicine
Type
Family Medicine
License number
Georgia 2082
Category
Osteopathic Medicine
Type
Family Medicine
License number
Georgia DO.1081
Category
Osteopathic Medicine
Type
Family Medicine
License number
Georgia 33908
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DIANE ROBERTS
Title: PRESIDENT
Phone: (770) 879-0064
Address
Address 2
2 Ravinia Dr SUITE 500, Atlanta, GA 30346
374 Osprey Pt, Stone Mountain, GA 30087
National Provider ID: 1841507621
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAIN RELIEF NETWORK OF THE SOUTH, INC

374 Osprey Pt, Stone Mountain, GA 30087

Status:
Inactive
Industry:
Chiropractor's Office
Registration:
Nov 12, 2009
State ID:
09078913
Business type:
Domestic Professional Corporation
Principals:
R Diane Alexander (CFO), 374 Osprey Pt, Stone Mountain, GA 30087 (Physical),Diane Roberts Principal, inactive
Agent:
Diane R Alexander,374 Osprey Pt, Stone Mountain, GA 30087 (Physical)

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