Sj & J Spine and Pain Group Holding LLC

NPI #1871979641 in Jasper, Georgia

Provider Information

NPI Number: 1871979641
Entity Type: Organization
Organization Name: Sj & J Spine and Pain Group Holding LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Aug 4, 2015
Last Updated: Aug 4, 2015

Practice Location

Address: 91 SAMMY MCGHEE BLVD, SUITE 101
City: Jasper
State: Georgia
ZIP Code: 30143
Phone: (706) 253-3341

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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