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PAIN CARE PSC

Physicians Physical Medicine & Rehabilitation Pain Medicine

Provider NPI: 1275601049

Organization Information:
Organization Name:  PAIN CARE PSC
Organization is not Subpart
Authorized Official:  LEON B. BRIGGS  PRESIDENT  606-408-5190

Practice Location:
2201 LEXINGTON AVE SUITE 8 B ASHLAND, KY 41101-2843 US
Tel: 606-408-5190  Fax: 606-408-6693

Business Mailing Address:
PO BOX 1109  ASHLAND, KY 41105-1109 US
Tel: 606-408-5190  Fax: 606-408-6693

NPI Information:
NPI: 1275601049
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2081P2900XPhysicians
Physical Medicine & Rehabilitation
Pain Medicine
Y207LP2900XPhysicians
Anesthesiology

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREDF1562KY01
64327745KY05



American Medical Association 2012 taxonomy code information

Code: 207LP2900X

Type:

Classification:



Definition:



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