PAIN SPECIALTY CENTER OF ATLANTA, P.C.
Ambulatory Health at Peachtree Dunwoody Rd, Atlanta, GA

License number
Georgia 060-179
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DIANNE S. THISTLETHWAITE
Title: PRACTICE ADMINISTRATOR
Phone: (404) 257-1415
Address
Address
5671 Peachtree Dunwoody Rd NE SUITE 660, Atlanta, GA 30342
National Provider ID: 1194746321
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAIN SPECIALTY CENTER OF ATLANTA, PC

5671 Peachtree Dunwoody Rd NE SUITE 610, Atlanta, GA 30342

Registration:
Jan 25, 1999
State ID:
K914433
Business type:
Domestic Professional Corporation
CFOs:
Matthew Zeleznik (CEO), 1215 W Wesley Rd, Atlanta, GA 30327 (Physical),H John Stephenson (Secretary), 926 E Rock Spg Rd, Atlanta, GA 30306 (Physical),Steven Sween (CFO), 640 Marehand Ct, Atlanta, GA 30328 (Physical)
Agent:
Steven L Sween Md,5671 Peachtree Dunwoody Rd SUITE 610, Atlanta, GA (Physical)

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