Georgia Pain And Wellness Center
Pain Medicine, Interventional Pain Medicine in Rome, GA. Organization (NPI-2).
NPI number1891448890
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1891448890
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Pain And Wellness Center
- Organization subpart
- No
- Enumeration date
- Jan 31, 2022
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 261QP3300X | Clinic/Center, Pain | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Summit Spine & Joint Centers (Doing Business As)
Practice location
18 Riverbend Dr Sw Ste 118Rome, GA 30161-6019
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
Ceo
7709623642
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