Advanced Spine & Pain Interventions LLC - Jasper

NPI #1992292973 in Jasper, Georgia

Provider Information

NPI Number: 1992292973
Entity Type: Organization
Organization Name: Advanced Spine & Pain Interventions LLC - Jasper
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED SPINE & PAIN INTERVENTIONS LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Apr 16, 2018
Last Updated: Apr 19, 2024

Practice Location

Address: 49 GORDON RD
Address 2: SUITE 102
City: Jasper
State: Georgia
ZIP Code: 30143-1017
Phone: (470) 299-1998

Authorized Official

Name: WOODLEY MARDY-DAVIS, MD
Title: MEDICAL DIRECTOER
Phone: (470) 299-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Addiction Medicine — Addiction Medicine	207LA0401X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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