M & M INTERVENTIONAL SPINE NPI 1205134673

NPI Information

  • NPI: 1205134673
  • Provider Name: M & M INTERVENTIONAL SPINE
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 91 SAMMY MCGHEE BLVD STE 101
    JASPER, GA
    ZIP 30143
  • Phone: (706) 253-3367

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NPI Details

M & M INTERVENTIONAL SPINE is an interventional pain medicine pain medicine in Jasper, 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. M & M INTERVENTIONAL SPINE NPI is 1205134673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

91 SAMMY MCGHEE BLVD STE 101
JASPER, GA
ZIP 30143-704
Phone: (706) 253-3367
Fax: (706) 253-3361

The provider's authorized official is Sallu Jabati .
The authorized official title is Medical Director and has the following contact phone number (678) 559-4526.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 3/8/2011.

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
1207R00000XInternal MedicineNo
2208VP0014XPain MedicineInterventional Pain Medicine058527GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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