Organization · Type 2 NPI
Spine Center of Southeast Georgia LLC
Interventional Pain Medicine Physician · Kingsland, GA
Practice location
52A Lindsey Lane
Kingsland, GA 31548-6855
Fax (912) 262-0112
Mailing address
4960 SW 72nd Ave Ste 405
Miami, FL 33155-5506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Pain Medicine Physician Primary | 208VP0014X | None listed |
Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
About NPI 1477106771
Spine Center of Southeast Georgia LLC's National Provider Identifier is 1477106771, issued on Jul 17, 2019. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Kingsland, GA. The record was last updated on Dec 8, 2025.