Organization · Type 2 NPI

Georgia Interventional Pain - C, LLC

Ambulatory Surgical Clinic/Center · Cumming, GA

NPI number 1497105803 Active

Practice location

1200 Bald Ridge Marina Rd, Suite 160
Cumming, GA 30041-8526

Call (770) 962-3642 Map

Fax (770) 962-3643

Mailing address

455 Philip Blvd, Suite 140
Lawrenceville, GA 30046-8767

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1497105803

Georgia Interventional Pain - C, LLC's National Provider Identifier is 1497105803, issued on Jun 16, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Cumming, GA. The record was last updated on Jan 13, 2023.