OrganizationActive
Pain Treatment Centers of Georgia LLC
NPI 1568327211 · Pain Medicine Physician · Swainsboro, GA
Provider details
- NPI number
- 1568327211
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vadim Petrov-Kondratov, Owner/Md(912) 910-3777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Practice location
303 S Main St
Swainsboro, GA 30401-3613
Phone: (912) 910-3777
Fax: (912) 292-0005
Approximate (ZIP-level) locationGet directions
Mailing address
604 W Oglethorpe Hwy
Hinesville, GA 31313-4415
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.