Center for Spine Interventions Asc 1 LLC
NPI #1801228481 in Douglasville, Georgia
Provider Information
- NPI Number
- 1801228481
- Entity Type
- Organization
- Organization Name
- Center for Spine Interventions Asc 1 LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 6, 2013
- Last Updated
- Jul 22, 2021
Practice Location
- Address
- 4586 TIMBER RIDGE DR STE 141
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-7517
- Phone
- (678) 813-2741
Authorized Official
- Name
- JANICE RAYA
- Title
- OFFICE MANAGER
- Phone
- (678) 813-2741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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