MEDICARE: PHILIPA DEBRAH-PINAMANG

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	208VP0014X	Interventional Pain Medicine Physician	APRN-NP311304	GA

General Provider Information

NPI Number	:	1891633046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIPA DEBRAH-PINAMANG

Provider Business Mailing Address
First Line	:	1887 DULUTH HWY APT 710
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-5087
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5670 OLD WINDER HWY
Second Line	:
City	:	BRASELTON
State	:	GA
Zip	:	30517-1238
Country	:	US
Telephone Number	:	770-962-3642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “ PHILIPA DEBRAH-PINAMANG ” Practice Location

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