Lanier Interventional Pain Center, LLC
Pain Medicine, Interventional Pain Medicine in Gainesville, GA. Organization (NPI-2).
NPI number1528041803
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1528041803
- Entity type
- Organization (NPI-2)
- Legal business name
- Lanier Interventional Pain Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2005
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 038234 | GA | Yes |
Practice location
2335 Limestone OverlookGainesville, GA 30501-7443
Phone 770-297-0356
Mailing address
2335 Limestone OverlookGainesville, GA 30501-7443
Phone 770-297-0356
Authorized official
John Lee Givogre
Owner
7702970356
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