Organization · Type 2 NPI

Georgia Interventional Pain - L, LLC

Ambulatory Surgical Clinic/Center · Athens, GA

NPI number 1154046019 Active

Practice location

658 N Chase Street, Ste 103
Athens, GA 30601

Call (770) 962-3642 Map

Fax (770) 962-3643

Mailing address

455 Philip Blvd Ste 138
Lawrenceville, GA 30046-8768

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

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About NPI 1154046019

Georgia Interventional Pain - L, LLC's National Provider Identifier is 1154046019, issued on Oct 4, 2022. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Athens, GA. The record was last updated on Jan 13, 2023.