Provider Demographics
NPI:1437694296
Name:PAIN MANAGEMENT ASSOCIATES LLC
Entity Type:Organization
Organization Name:PAIN MANAGEMENT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-233-5911
Mailing Address - Street 1:22281 US HIGHWAY 72
Mailing Address - Street 2:SUITE A
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-2600
Mailing Address - Country:US
Mailing Address - Phone:256-233-5911
Mailing Address - Fax:256-233-5611
Practice Address - Street 1:22281 US HIGHWAY 72
Practice Address - Street 2:SUITE A
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35613-2600
Practice Address - Country:US
Practice Address - Phone:256-233-5911
Practice Address - Fax:256-233-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care