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ALIGN SPINE AND PAIN INSTITUTE LLC NPI 1457011199


NPI Information

NPI: 1457011199
Provider Name: ALIGN SPINE AND PAIN INSTITUTE, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2265504

Address:
960 HOLCOMB BRIDGE RD STE 150
ROSWELL, GA
ZIP 30076
Phone: (770) 988-7246
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ALIGN SPINE AND PAIN INSTITUTE, LLC is a pain medicine anesthesiology in Roswell, 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. ALIGN SPINE AND PAIN INSTITUTE, LLC NPI is 1457011199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

960 HOLCOMB BRIDGE RD STE 150
ROSWELL, GA
ZIP 30076-963
Phone: (770) 988-7246
Fax: (770) 988-7247

The provider's authorized official is Joseph A Kundukulam .
The authorized official title is Physician and has the following contact phone number (770) 988-7246.

The CLIA number assigned to this NPI record is 11D2265504 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 1/17/2023.


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 MedicineYes

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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