The Pain Management Clinic Of Woodstock

LBN: 360 Medical Management
The Pain Management Clinic Of Woodstock is an health care organization with primary practice located at 200 Parkbrooke Dr Suite 200, Woodstock GA 30189-6331. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 360 Medical Management can be contacted via phone (770) 591-8360, or through Moorehead, Myron via phone (770) 591-8360.

Contact Information

Primary practice address
200 Parkbrooke Dr Suite 200 Woodstock GA 30189-6331
Phone: (770) 591-8360
Fax: (770) 591-8364
Website:
Map and Directions
Authorized official contact:
Name: Moorehead, Myron
Phone: (770) 591-8360

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 058478 Georgia

Profile Details

NPI number 1013161637
LBN Legal business name 360 Medical Management
DBA Doing business as The Pain Management Clinic Of Woodstock
Authorized official Moorehead, Myron
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2008
Last updated May 1st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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