INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER is an ambulatory surgical clinic center in Conyers, GA. INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER NPI is 1750420147. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ispm Asc.
The provider's business location address is:
1388 WELLBROOK CIR NE
SUITE A
CONYERS, GA
ZIP 30012-872
Phone: (770) 929-9033
Fax: (770) 929-9092
The provider's authorized official is Victoria Beck .
The authorized official title is Cfo and has the following contact phone number (404) 920-4950.
The CLIA number assigned to this NPI record is 11D2118845 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2007 and was last updated on 2/29/2020.