Organization · Type 2 NPI
Georgia Interventional Pain - E, LLC
Ambulatory Surgical Clinic/Center · Canton, GA
NPI number
1194283267
Active
Practice location
100 Liberty Blvd Ste 220
Canton, GA 30114-2852
Fax (770) 962-3643
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1194283267
Georgia Interventional Pain - E, LLC's National Provider Identifier is 1194283267, issued on Mar 7, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Canton, GA. The record was last updated on Jan 13, 2023.