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GEORGIA PAIN AND WELLNESS CENTER LLC NPI 1538671847


NPI Information

NPI: 1538671847
Provider Name: GEORGIA PAIN AND WELLNESS CENTER, LLC

Doing Business As: SUMMIT SPINE & JOINT CENTERS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 11D2071918

Address:
1255 FRIENDSHIP RD STE 150
BRASELTON, GA
ZIP 30517
Phone: (770) 962-3642
Get Directions

GEORGIA PAIN AND WELLNESS CENTER, LLC is an interventional pain medicine pain medicine in Braselton, 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. GEORGIA PAIN AND WELLNESS CENTER, LLC NPI is 1538671847. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Spine & Joint Centers.

The provider's business location address is:

1255 FRIENDSHIP RD STE 150
BRASELTON, GA
ZIP 30517-618
Phone: (770) 962-3642
Fax: (770) 962-3643

The provider's authorized official is Amit Patel .
The authorized official title is Ceo and has the following contact phone number (770) 962-3642.

The CLIA number assigned to this NPI record is 11D2071918 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 8/5/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2208VP0014XPain MedicineInterventional Pain 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: 5/5/2024

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