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General NPI Number Information
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NPI Number | 1154242329
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Entity Type | Organization
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Legal Business Name | CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS, INC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 1960 RIVERSIDE PKWY STE 107
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5945
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Country | US
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Telephone | 404-400-6817
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29650
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | NEVILLE F CAMPBELL
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Credential |
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Telephone | 702-476-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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