Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pain Treatment Centers of Georgia LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1447185129

Pain Treatment Centers of Georgia LLC provides Pain Medicine (Anesthesiology) Physician services in Vidalia, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

303 Harris Industrial Blvd
Vidalia, GA 30474-8853
Phone: (912) 910-3777
Fax: (912) 292-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1447185129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vadim Petrov-Kondratov — Director/Owner · (912) 910-3777
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address604 W Oglethorpe Hwy, Hinesville, GA 31313-4415

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