Interventional Spine and Pain Management Center, PC

NPI #1861077315 in Dacula, Georgia

Provider Information

NPI Number: 1861077315
Entity Type: Organization
Organization Name: Interventional Spine and Pain Management Center, PC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Mar 16, 2021
Last Updated: Mar 16, 2021

Practice Location

Address: 3685 BRASELTON HWY STE 100
City: Dacula
State: Georgia
ZIP Code: 30019-5920
Phone: (404) 920-4950

Authorized Official

Name: VICTORIA BECK
Title: CFO
Phone: (404) 403-8310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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