Interventional Spine & Pain Management Center, PC

NPI #1982050613 in Hiram, Georgia

Provider Information

NPI Number: 1982050613
Entity Type: Organization
Organization Name: Interventional Spine & Pain Management Center, PC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: May 12, 2016
Last Updated: May 12, 2016

Practice Location

Address: 144 BILL CARRUTH PKWY
Address 2: SIUTE 2300
City: Hiram
State: Georgia
ZIP Code: 30141-3818
Phone: (770) 929-9033

Authorized Official

Name: VICTORIA BECK
Title: CFO
Phone: (404) 920-4950

Specialties & Taxonomy Codes

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

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