CONSULTANTS IN PAIN MEDICINE LLC NPI 1902852130

NPI Information

  • NPI: 1902852130
  • Provider Name: CONSULTANTS IN PAIN MEDICINE, LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: CENTURION SPINE & PAIN CENTERS
  • CLIA Number: 11D2248990
  • Address: 3408 TROUT ST
    BRUNSWICK, GA
    ZIP 31520
  • Phone: (912) 466-9111

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NPI Details

CONSULTANTS IN PAIN MEDICINE, LLC is an interventional pain medicine pain medicine in Brunswick, 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. CONSULTANTS IN PAIN MEDICINE, LLC NPI is 1902852130. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Centurion Spine & Pain Centers.

The provider's business location address is:

3408 TROUT ST
BRUNSWICK, GA
ZIP 31520-622
Phone: (912) 466-9111
Fax: (912) 466-0366

The provider's authorized official is Alicia Groth (ao) .
The authorized official title is Credentialing and has the following contact phone number (904) 223-3321.

The CLIA number assigned to this NPI record is 11D2248990 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 6/27/2023.

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
1207L00000XAnesthesiology041205GEORGIANo
2207LP2900XAnesthesiologyPain Medicine041205GEORGIANo
3208VP0014XPain MedicineInterventional Pain Medicine041205GEORGIAYes

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This page was last updated on: 3/30/2025

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