M & M Interventional Spine

NPI #1205134673 in Jasper, Georgia

Provider Information

NPI Number: 1205134673
Entity Type: Organization
Organization Name: M & M Interventional Spine
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Mar 8, 2011
Last Updated: Mar 8, 2011

Practice Location

Address: 91 SAMMY MCGHEE BLVD STE 101
City: Jasper
State: Georgia
ZIP Code: 30143-7704
Phone: (706) 253-3367

Authorized Official

Name: SALLU JABATI
Title: MEDICAL DIRECTOR
Phone: (678) 559-4526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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