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ADVANCED SPINE & PAIN INTERVENTIONS LLC NPI 1184021180


NPI Information

NPI: 1184021180
Provider Name: ADVANCED SPINE & PAIN INTERVENTIONS, LLC

Doing Business As: ADVANCED SPINE & PAIN INTERVENTIONS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
12389 CRABAPPLE RD
ALPHARETTA, GA
ZIP 30004
Phone: (470) 299-1998
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ADVANCED SPINE & PAIN INTERVENTIONS, LLC is an interventional pain medicine pain medicine in Alpharetta, GA. The provider is 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. ADVANCED SPINE & PAIN INTERVENTIONS, LLC NPI is 1184021180. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Spine & Pain Interventions.

The provider's business location address is:

12389 CRABAPPLE RD
ALPHARETTA, GA
ZIP 30004-328
Phone: (470) 299-1998
Fax: (470) 299-1898

The provider's authorized official is Woodley B. Mardy-davis .
The authorized official title is Medical Director and has the following contact phone number (470) 299-1998.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 4/23/2024.


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
1207LA0401XAnesthesiologyAddiction Medicine059463GEORGIANo
2208VP0014XPain MedicineInterventional Pain Medicine059463GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12152738OTHERPK

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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