| Pain And Neurology Llc | |
|
1445 Georgia Ave Ste 3 Macon GA 31201-7612 | |
| (478) 361-0251 | |
| Not Available |
| Full Name | Pain And Neurology Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1445 Georgia Ave Ste 3, Macon, Georgia |
| Authorized Official Name and Position | Margaret Boltja (OWNER) |
| Authorized Official Contact | 4783610251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain And Neurology Llc 1445 Georgia Ave Ste 3 Macon GA 31201-7612 Ph: () - | Pain And Neurology Llc 1445 Georgia Ave Ste 3 Macon GA 31201-7612 Ph: (478) 361-0251 |
| NPI Number | 1063227627 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 2365969599 |
|---|---|
| Medicare Enrollment ID | O20250509002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063227627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Margaret Boltja |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1184671133 PECOS PAC ID: 4981617057 Enrollment ID: I20060714000024 |
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