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JOHNS CREEK CENTER FOR PAIN AND SPINE NPI 1801320510


NPI Information

NPI: 1801320510
Provider Name: JOHNS CREEK CENTER FOR PAIN AND SPINE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2125191

Address:
6300 HOSPITAL PKWY
SUITE 425
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 771-6580
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JOHNS CREEK CENTER FOR PAIN AND SPINE is an ambulatory surgical clinic center in Johns Creek, GA. JOHNS CREEK CENTER FOR PAIN AND SPINE NPI is 1801320510. The provider is registered as an organization entity type.

The provider's business location address is:

6300 HOSPITAL PKWY
SUITE 425
JOHNS CREEK, GA
ZIP 30097-828
Phone: (770) 771-6580

The provider's authorized official is Lindsey Ann Mathes .
The authorized official title is Coo and has the following contact phone number (770) 771-6582.

The CLIA number assigned to this NPI record is 11D2125191 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 8/25/2017.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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