Organization · Type 2 NPI

Southern Pain and Spine Associates LLC

Interventional Pain Medicine Physician · Jasper, GA

NPI number 1093469355 Active

Practice location

1101 Old Philadelphia Rd Ste G100
Jasper, GA 30143-4044

Call (678) 971-4167 Map

Fax (833) 989-2501

Mailing address

PO Box 28415
Belfast, ME 04915-2036

Specialties and licenses

Taxonomy	Code	License
Interventional Pain Medicine Physician Primary	208VP0014X	None 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.

2 other providers at this address

Other interventional pain medicine physician providers in Jasper

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NPI record

NPI: 1093469355
Entity type: Organization (Type 2)
Issued: Feb 7, 2022
Last updated: May 25, 2022
Status: Active
Subpart: Yes of Southern Pain and Spine Associates, LLC

Other names

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Southern Pain and Spine - Jasper · other name
Southern Pain and Spine - Jasper · other name

Authorized official

Hamish Patel
COO
(470) 628-9203

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093469355

Southern Pain and Spine Associates LLC's National Provider Identifier is 1093469355, issued on Feb 7, 2022. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Jasper, GA. The record was last updated on May 25, 2022.