Unknown Individual – Interventional Pain Medicine Physician, NPI 1629505409
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
503, Canal Street, Ashmore, Hinesville, Liberty County, Georgia, 31313, United States
HINESVILLE, GA 313224261
Phone:
Type: Mailing
South Main Street, Maple Subdivision, Hinesville, Liberty County, Georgia, 31313, United States
HINESVILLE, GA 313134356
Phone: (912) 450-6300
Fax: (912) 450-6303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31322)
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