Georgia Interventional Pain - F, LLC
Clinic/Center, Ambulatory Surgical in Roswell, GA. Organization (NPI-2).
NPI number1700424322
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1700424322
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Interventional Pain - F, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2019
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
1357 Hembree Rd Ste 230Roswell, GA 30076-5725
Phone 770-962-3642 · Fax 770-962-3643
Mailing address
455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768
Phone 770-962-3642 · Fax 770-962-3643
Authorized official
Amit Patel
Chief Executive Officer
7709623642
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