Contract Details
Georgia Pain Physicians, P.C.
Facility name
Georgia Pain Physicians of Marietta
Provider ID
P000002162
NPI
1407884489
Tax ID
582318726
Effective Date
2/15/2004
Last Updated
2/16/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2550 Windy Hill Road Suite 215
Marietta, GA 30067
United States
County
Cobb
Phone
7708508464 (Phone)
Billing Details
Address
P.O. Box 672588
Marietta, GA 30006
Specialty Type
Pain Management Facility
Map
Address