Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pain Treatment Centers of Georgia LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1447185129

Pain Treatment Centers of Georgia LLC is a Pain Medicine (Anesthesiology) Physician 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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