Organization · Type 2 NPI
Georgia Interventional Pain - J, LLC
Ambulatory Surgical Clinic/Center · Stockbridge, GA
NPI number
1316604440
Active
Practice location
830 Eagles Landing Pkwy Ste 205
Stockbridge, GA 30281-7366
Fax (770) 962-3643
Mailing address
455 Philip Blvd Ste 138
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 1316604440
Georgia Interventional Pain - J, LLC's National Provider Identifier is 1316604440, issued on Nov 23, 2021. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 13, 2023.