PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT ASC LLC NPI 1457770547

NPI Information

NPI: 1457770547
Provider Name: PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT ASC, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1065138

Address:
3312 N OAK STREET EXT STE F
VALDOSTA, GA
ZIP 31605
Phone: (229) 247-3300
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PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT ASC, LLC is an ambulatory surgical clinic center in Valdosta, GA. PHYSICIANS INSTITUTE FOR PAIN MANAGEMENT ASC, LLC NPI is 1457770547. The provider is registered as an organization entity type.

The provider's business location address is:

3312 N OAK STREET EXT STE F
VALDOSTA, GA
ZIP 31605-065
Phone: (229) 247-3300

The provider's authorized official is James H Campagna .
The authorized official title is Md/owner and has the following contact phone number (229) 247-3300.

The CLIA number assigned to this NPI record is 11D1065138 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	33806	GEORGIA	Yes

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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