Organization · Type 2 NPI

Interventional Spine & Pain Management Center, PC

Interventional Pain Medicine Physician · Canton, GA

NPI number 1003264532 Active

Practice location

2205 Riverstone Blvd, Suite 101
Canton, GA 30114-5227

Fax (770) 929-9092

Mailing address

3390 Peachtree Rd NE, Suite 1500
Atlanta, GA 30326-1157

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1003264532

Interventional Spine & Pain Management Center, PC's National Provider Identifier is 1003264532, issued on May 25, 2016. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Canton, GA. The record was last updated on May 25, 2016.