Provider Demographics
NPI:1770750895
Name:PHYSICIANS PAIN CLINIC OF HIRAM, P.C.
Entity type:Organization
Organization Name:PHYSICIANS PAIN CLINIC OF HIRAM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAFUMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-222-8900
Mailing Address - Street 1:3827 JIMMY LEE SMITH PKWY BLDG 100
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2630
Mailing Address - Country:US
Mailing Address - Phone:770-222-8900
Mailing Address - Fax:770-222-2757
Practice Address - Street 1:3827 JIMMY LEE SMITH PKWY BLDG 100
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2630
Practice Address - Country:US
Practice Address - Phone:770-222-8900
Practice Address - Fax:770-222-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty