Healthcare Provider Details

I. General information

NPI: 1154348464
Provider Name (Legal Business Name): CLAUDIO PALMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CLAUDIO ALEJANDRO PALMA CAIMANQUE MD

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 WARM SPRINGS RD STE 101
COLUMBUS GA
31904-8029
US

IV. Provider business mailing address

455 PHILIP BLVD STE 140
LAWRENCEVILLE GA
30046-8768
US

V. Phone/Fax

Practice location:
  • Phone: 770-962-3642
  • Fax: 770-962-3643
Mailing address:
  • Phone: 770-962-3642
  • Fax: 770-962-3643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number112047
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA79161
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: