Woodstock Pain Solutions, PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

053994 Issued in GA

Legal business name

WOODSTOCK PAIN SOLUTIONS, PC

Practice address

7914 Highway 92
Suite 130
Woodstock, GA 30189-5238

Phone

(770) 924-8438

Fax

(770) 924-8431

NPI assigned

Mar 13, 2009

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry T Mabine, M.D.NPI 1003846049

Title

Ceo

Phone

(770) 924-8438

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Tufani Mabine, MD

  • Pain Medicine Physician
  • Woodstock, GA
  • NPI 1003846049
  Authorized official Same address or phone

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1891936282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK PAIN SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MABINE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-924-8438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "053994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodstock Eye Associates LLC
• Woodstock Eyesite Inc (Pearle Vision)
• Woodstock Family Practice and Urgent Care
• Woodstock Optometry, P.C.
• Woodstock Pain Relief LLC
• Woodstock Pediatric Medicine
• Woodstock Pharmaceutical & Compounding Center Inc (Woodstock Pharmacy)
• Woodstock Pharmaceutical & Compounding Center Inc
• Woodstock Smiles, PC (Woodstock Dental Care)
• Woodstock Treatment Center LLC (Woodstock Treatment Center)

• Pain Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.