Individual provider · Type 1 NPI

Sandeep Datta, MD

Interventional Pain Medicine Physician · Macon, GA

NPI number 1477546166 Active

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

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900X050473 (GA)
Anesthesiology Physician 207L00000X050473 (GA)
Pain Medicine Physician 208VP0000X050473 (GA)
Interventional Pain Medicine Physician Primary 208VP0014X050473 (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.

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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.