MEDICARE: PREMIER PAIN MANAGEMENT INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1427322528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER PAIN MANAGEMENT INC

Provider Business Mailing Address
First Line	:	1250 E HALLANDALE BEACH BLVD
Second Line	:	SUITE 602
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4634
Country	:	US
Telephone Number	:	954-674-3260
Fax Number	:	954-674-3310

Provider Business Practice Location Address
First Line	:	3993 LAWRENCEVILLE HWY NW
Second Line	:	SUITE 110
City	:	LILBURN
State	:	GA
Zip	:	30047-2897
Country	:	US
Telephone Number	:	954-674-3260
Fax Number	:	954-674-3310

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LARRY WEBMAN
Credential	:
Telephone Number	:	954-674-3260

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/07/2012

Similar Medicare Providers

1831039205 — SAHAR KHAN PA
Practice Location Address:

3993 LAWRENCEVILLE HWY NW STE 140A
LILBURN, GA
30047-2897

Practice Phone: 404-333-8204
Practice Fax: 404-595-1404

1295768034 — MISS FAITH MICHELLE GRAY M.D.
Practice Location Address:

3993 LAWRENCEVILLE HWY NW , SUITE 115
LILBURN, GA
30047-2897

Practice Phone: 770-806-8710
Practice Fax: 770-806-0564

1427299064 — AFFORDABLE DENTAL SOLUTIONS,LLC
Practice Location Address:

3993 LAWRENCEVILLE HWY NW , SUITE#100
LILBURN, GA
30047-2897

Practice Phone: 770-279-2020
Practice Fax:

1114286945 — FAITH M. GRAY, M.D., INC.
Practice Location Address:

3993 LAWRENCEVILLE HWY NW , SUITE 115
LILBURN, GA
30047-2897

Practice Phone: 770-806-8710
Practice Fax: 770-806-0564

1124700927 — WYNTON SMITH
Practice Location Address:

3993 LAWRENCEVILLE HWY NW
LILBURN, GA
30047-2897

Practice Phone: 614-669-5612
Practice Fax:

1639979115 — DYESEAH IRENE MONTGOMERY
Practice Location Address:

3993 LAWRENCEVILLE HWY NW
LILBURN, GA
30047-2897

Practice Phone: 404-889-8763
Practice Fax:

Directions to “PREMIER PAIN MANAGEMENT INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.