Laser Spine & Pain Centers Prado LLC
NPI #1205431368 in Sandy Springs, Georgia
Provider Information
- NPI Number
- 1205431368
- Entity Type
- Organization
- Organization Name
- Laser Spine & Pain Centers Prado LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 5505 ROSWELL RD STE 350B
- City
- Sandy Springs
- State
- Georgia
- ZIP Code
- 30342-1985
- Phone
- (770) 627-7246
Authorized Official
- Name
- DR. VINAYA KRISHNA PUPPALA, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (847) 340-7215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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