OrganizationActive
Jefferson Pain Clinic Inc
NPI 1710156393 · Pain Medicine Physician · Jefferson, GA
Provider details
- NPI number
- 1710156393
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ahmad Ghadamyari, President(706) 387-0027
- License
- 032558 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1351 Washington St
Jefferson, GA 30549-2879
Phone: (706) 387-0027
Fax: (706) 387-0073
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 680904
Marietta, GA 30068-0016
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.