Provider Demographics
NPI:1902433147
Name:SUN PAIN INSTITUTE LLC
Entity Type:Organization
Organization Name:SUN PAIN INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-692-0755
Mailing Address - Street 1:5354 REYNOLDS ST STE 315
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6010
Mailing Address - Country:US
Mailing Address - Phone:912-692-0755
Mailing Address - Fax:912-692-0754
Practice Address - Street 1:5354 REYNOLDS ST STE 315
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6010
Practice Address - Country:US
Practice Address - Phone:912-692-0755
Practice Address - Fax:912-692-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty