MEDICARE: METRO PAIN CENTER, 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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1932325552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO PAIN CENTER, INC.

Provider Business Mailing Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	SUITE 175
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-255-8388
Fax Number	:	404-255-1831

Provider Business Practice Location Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	SUITE 175
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-255-8388
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MARK AARON LEWINTER
Credential	:
Telephone Number	:	404-255-8388

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	10/05/2021

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