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General NPI Number Information
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NPI Number | 1720197791
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Entity Type | Organization
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Legal Business Name | CENTER FOR ADVANCED PAIN MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 1 E JACKSON BLVD SUITE 200
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City | SAVANNAH
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State | GA
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Zip | 31405-5816
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Country | US
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Telephone | 912-691-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 1 E JACKSON BLVD SUITE 200
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City | SAVANNAH
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State | GA
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Zip | 31405-5816
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Country | US
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Telephone | 912-691-2272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WAYNE MCKAY WOODBURY
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Credential | M.D.
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Telephone | 912-691-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 042978
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License Number State | GA
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