MEDICARE: NATIONAL EPIDURAL & HERNIA NETWORK, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1225891773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL EPIDURAL & HERNIA NETWORK, LLC

Provider Business Mailing Address
First Line	:	1175 PEACHTREE ST NE FL 10
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30361-3528
Country	:	US
Telephone Number	:	404-944-7657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 PEACHTREE ST NE FL 10
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30361-3528
Country	:	US
Telephone Number	:	404-944-7657
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS LOMAX
Credential	:
Telephone Number	:	215-962-5559

Provider Enumeration Date	:	02/06/2024
Last Update Date	:	02/06/2024

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