Provider Demographics
NPI:1851790778
Name:TOTAL PAIN SOLUTIONS, PC
Entity type:Organization
Organization Name:TOTAL PAIN SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINAI
Authorized Official - Middle Name:
Authorized Official - Last Name:VISHWANATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-400-2683
Mailing Address - Street 1:5008 DUXFORD DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5057
Mailing Address - Country:US
Mailing Address - Phone:678-207-9479
Mailing Address - Fax:
Practice Address - Street 1:3969 S COBB DR SE
Practice Address - Street 2:SUITE 205
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6358
Practice Address - Country:US
Practice Address - Phone:404-400-2683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA55994207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty