Organization · Type 2 NPI

Minimally Invasive Neurospine and Pain Institute, PC

Ambulatory Surgical Clinic/Center · Riverdale, GA

NPI number 1255607628 Active

Practice location

33 Upper Riverdale Rd SW, #25
Riverdale, GA 30274-2626

Call (770) 997-0600 Map

Fax (770) 991-5576

Mailing address

900 Eagles Landing Pkwy
Stockbridge, GA 30281-7343

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

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About NPI 1255607628

Minimally Invasive Neurospine and Pain Institute, PC's National Provider Identifier is 1255607628, issued on Mar 29, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Riverdale, GA. The record was last updated on Mar 29, 2012.