OrganizationActive
Life Balance Pain Care
NPI 1003523721 · Pain Medicine Physician · Atlanta, GA
Provider details
- NPI number
- 1003523721
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Bootstaylor, Employee(404) 275-3121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
285 Boulevard Ne Ste 345a
Atlanta, GA 30312-4205
Phone: (404) 275-3121
Fax: (404) 480-3876
Approximate (ZIP-level) locationGet directions
Mailing address
285 Boulevard Ne Ste 345a
Atlanta, GA 30312-4205
Other names (DBA / former)
- Doing business as
- Life Balance Pain Care
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.