Back To Life Pain Center

LBN: Back To Life Pain Center, Llc
Back To Life Pain Center is an health care organization with primary practice located at 410 Creekstone Rdg , Woodstock GA 30188-3740. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Back To Life Pain Center, Llc can be contacted via phone (678) 909-0911, or through Tsymbalov, Konstantin Sergeyevich via phone (678) 909-0911.

Contact Information

Primary practice address
410 Creekstone Rdg Woodstock GA 30188-3740
Fax: (678) 909-0912
Website:
Authorized official contact:
Name: Tsymbalov, Konstantin Sergeyevich Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1982172060
LBN Legal business name Back To Life Pain Center, Llc
DBA Doing business as Back To Life Pain Center
Authorized official Tsymbalov, Konstantin Sergeyevich Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2018
Last updated Aug 14th, 2020 - about 5 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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