Interventional Spine & Pain Management Center, PC

NPI #1003264532 in Canton, Georgia

Provider Information

NPI Number
1003264532
Entity Type
Organization
Organization Name
Interventional Spine & Pain Management Center, PC
Primary Specialty
Pain Medicine - Interventional Pain Medicine
Enumeration Date
May 25, 2016
Last Updated
May 25, 2016

Practice Location

Address
2205 RIVERSTONE BLVD
Address 2
SUITE 101
City
Canton
State
Georgia
ZIP Code
30114-5227
Phone
(770) 929-9033

Authorized Official

Name
VICTORIA BECK
Title
CFO
Phone
(404) 920-4950

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine

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