Organization · Type 2 NPI
Georgia Interventional Pain LLC
Ambulatory Surgical Clinic/Center · Lawrenceville, GA
NPI number
1245654615
Active
Practice location
455 Philip Blvd Ste 138
Lawrenceville, GA 30046-8767
Fax (770) 962-3642
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 62929 (GA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1245654615
Georgia Interventional Pain LLC's National Provider Identifier is 1245654615, issued on Feb 5, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 13, 2023.