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INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS LLC NPI 1700490091


NPI Information

NPI: 1700490091
Provider Name: INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2189075

Address:
3630 WHEELER RD
AUGUSTA, GA
ZIP 30909
Phone: (706) 922-0419
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INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC is a pain medicine physical medicine rehabilitation in Augusta, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC NPI is 1700490091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3630 WHEELER RD
AUGUSTA, GA
ZIP 30909-561
Phone: (706) 922-0419
Fax: (706) 364-0036

The provider's authorized official is David Baker .
The authorized official title is Owner and has the following contact phone number (248) 766-9257.

The CLIA number assigned to this NPI record is 11D2189075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 9/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain 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: 11/14/2023

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