Consultants In Pain Medicine, LLC
Pain Medicine, Interventional Pain Medicine in Richmond Hill, GA. Organization (NPI-2).
NPI number1104775600
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1104775600
- Entity type
- Organization (NPI-2)
- Legal business name
- Consultants In Pain Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Other names
- Centurion Spine & Pain Centers (Doing Business As)
Practice location
2658 Us Highway 17 SouthRichmond Hill, GA 31324-3374
Phone 912-590-0973 · Fax 912-590-0180
Mailing address
5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609
Phone 904-223-3321 · Fax 904-223-2169
Authorized official
Alicia M Groth
Credentialing Manager
9042233321
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