Organization · Type 2 NPI
Lakeside Pain Center, P.c.
Interventional Pain Medicine Physician · Bloomingdale, GA
Practice location
701 E US Highway 80 Ste C
Bloomingdale, GA 31302-0078
Fax (478) 475-9201
Other practice locations
- 125 Plantation Centre Dr S Ste 750A, Macon, GA 31210-2091 · (478) 475-9220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 042215 (GA) |
| Pain Medicine Physician | 208VP0000X | 042215 (GA) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 042215 (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.
About NPI 1477566727
Lakeside Pain Center, P.c.'s National Provider Identifier is 1477566727, issued on Aug 15, 2006. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Bloomingdale, GA. The record was last updated on May 13, 2026.