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GEORGIA PAIN AND SPINE SOLUTIONS PC NPI 1255820502


NPI Information

NPI: 1255820502
Provider Name: GEORGIA PAIN AND SPINE SOLUTIONS, PC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2154585

Address:
76 HIGHLAND PAVILION COURT
#133
HIRAM, GA
ZIP 30141
Phone: (800) 533-8210
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GEORGIA PAIN AND SPINE SOLUTIONS, PC is a pain medicine anesthesiology in Hiram, GA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. GEORGIA PAIN AND SPINE SOLUTIONS, PC NPI is 1255820502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 HIGHLAND PAVILION COURT
#133
HIRAM, GA
ZIP 30141-170
Phone: (800) 533-8210
Fax: (404) 745-8013

The provider's authorized official is Marcus Q Polk .
The authorized official title is President/ceo and has the following contact phone number (404) 403-4567.

The CLIA number assigned to this NPI record is 11D2154585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2018 and was last updated on 4/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine040758GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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