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NOVA SPINE AND PAIN CARE P.C. NPI 1225759236


NPI Information

NPI: 1225759236
Provider Name: NOVA SPINE AND PAIN CARE P.C.

Doing Business As: NOVA SPINE AND PAIN CARE

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2269926

Address:
145 RIVERSTONE TER STE 101
CANTON, GA
ZIP 30114
Phone: (770) 450-4807
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NOVA SPINE AND PAIN CARE P.C. is a pain medicine anesthesiology in Canton, 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. NOVA SPINE AND PAIN CARE P.C. NPI is 1225759236. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nova Spine And Pain Care.

The provider's business location address is:

145 RIVERSTONE TER STE 101
CANTON, GA
ZIP 30114-327
Phone: (770) 450-4807

The provider's authorized official is Chitra Ramasubbu .
The authorized official title is Director and has the following contact phone number (267) 901-3020.

The CLIA number assigned to this NPI record is 11D2269926 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 10/25/2022.


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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