Keomahathai, Sackdinanh Nok
Keomahathai, Sackdinanh Nok is an individual health care provider with primary practice located at 650 Henderson Dr Ste 409 , Cartersville GA 30120-3758. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Keomahathai, Sackdinanh Nok can be contacted via phone (470) 274-2800.Contact Information
Primary practice address
650 Henderson Dr Ste 409
Cartersville GA 30120-3758
Phone: (470) 274-2800
Fax: (800) 501-3088
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 051054 | Georgia |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 051054 | Georgia |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 051054 | Georgia |
Profile Details
NPI number | 1083775670 |
---|---|
LBN Legal business name | Keomahathai, Sackdinanh Nok |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jun 19th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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