OrganizationActive
Faodail Pain Management, PLLC
NPI 1114524824 · Pain Medicine Physician · Grantham, NH
Provider details
- NPI number
- 1114524824
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melynda Wallace, Owner(603) 309-3902
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
151 Route 10 N Unit 2
Grantham, NH 03753-3621
Phone: (603) 309-3902
Fax: (603) 843-8176
Approximate (ZIP-level) locationGet directions
Mailing address
252 Mechanic St
Lebanon, NH 03766-2613
Other names (DBA / former)
- Doing business as
- Full Life Pain and Depression Center
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.