Savannah Pain Relief, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

L20422591 Issued in AZ

Legal business name

SAVANNAH PAIN RELIEF, LLC

Practice address

5658 White Mountain Blvd
Suite 7
Lakeside, AZ 85929-5189

Phone

(928) 892-5225

NPI assigned

Jun 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitchell Major, M.D.

Title

M.D./Owner

Phone

(928) 892-5225

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1285084665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 WHITE MOUNTAIN BLVD",
            "address_2": "SUITE 7",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 WHITE MOUNTAIN BLVD",
            "address_2": "SUITE 7",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-892-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH PAIN RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "928-892-5225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "L20422591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.