Organization · Type 2 NPI

Georgia Interventional Pain - D LLC

Ambulatory Surgical Clinic/Center · Decatur, GA

NPI number 1043660442 Active

Practice location

484 Irvin Ct, Suite 130
Decatur, GA 30030-5406

Fax (770) 962-3643

Mailing address

455 Philip Blvd, Suite 140
Lawrenceville, GA 30046-8767

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1043660442

Georgia Interventional Pain - D LLC's National Provider Identifier is 1043660442, issued on Jun 16, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Decatur, GA. The record was last updated on Jan 13, 2023.