Organization · Type 2 NPI
Pca Interventional Spine at Fayette, LLC
Pain Clinic/Center · Fayetteville, GA
NPI number
1447791074
Active
Practice location
1233 Highway 54 W, Suite 205
Fayetteville, GA 30214-4542
Mailing address
PO Box 40061
Belfast, ME 04915-1237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | IN PROCESS (GA) |
| Pain Clinic/Center Primary | 261QP3300X | None listed |
Pain Clinic/Center: Definition to come...
Another provider at this address
Other pain clinic/center providers in Fayetteville
About NPI 1447791074
Pca Interventional Spine at Fayette, LLC's National Provider Identifier is 1447791074, issued on Mar 15, 2017. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 20, 2026.