Individual provider · Type 1 NPI
Sandeep Datta, MD
Interventional Pain Medicine Physician · Macon, GA
Practice location
101 Preston Ct, Suite 103
Macon, GA 31210-5772
Fax (478) 745-1225
Mailing address
101 Preston Ct Ste 103
Macon, GA 31210-5771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 050473 (GA) |
| Anesthesiology Physician | 207L00000X | 050473 (GA) |
| Pain Medicine Physician | 208VP0000X | 050473 (GA) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 050473 (GA) |
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.
7 other providers at this address
- Maga Anesthesia, LLCCertified Registered Nurse Anesthetist Macon, GA NPI 1801437751
- Chrissy Latrice FarleyFamily Nurse Practitioner Macon, GA NPI 1740828342
- Lauren Warren, NPRegistered Nurse Macon, GA NPI 1730609694
- Lindsay Cook, NPFamily Nurse Practitioner Macon, GA NPI 1124751250
- Nikki Govner, FNPFamily Nurse Practitioner Macon, GA NPI 1730666025
- Stephen N. Tafor, MDInterventional Pain Medicine Physician Macon, GA NPI 1700844321
- Torre Massey, NPNurse Practitioner Macon, GA NPI 1144570847
Other interventional pain medicine physician providers in Macon
- Dwayne Lee Clay, MDInterventional Pain Medicine Physician Macon, GA NPI 1003829433
- Carlos Jorge Giron, MDInterventional Pain Medicine Physician Macon, GA NPI 1053392068
- Margaret C. Boltja, MDInterventional Pain Medicine Physician Macon, GA NPI 1184671133
- Hollie R. Holloway, FNP-CInterventional Pain Medicine Physician Macon, GA NPI 1194092817
- Grace Duque-Dizon, MDInterventional Pain Medicine Physician Macon, GA NPI 1306823034
- Jeremy Jacob Prine, MDInterventional Pain Medicine Physician Macon, GA NPI 1508000332
- Stephen N. Tafor, MDInterventional Pain Medicine Physician Macon, GA NPI 1700844321
- William Benjamin Smisson, MDInterventional Pain Medicine Physician Macon, GA NPI 1992138366
About NPI 1477546166
Sandeep Datta, MD's National Provider Identifier is 1477546166, issued on Aug 26, 2005. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Macon, GA. The record was last updated on Jun 22, 2026.