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INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC NPI 1598124364


NPI Information

NPI: 1598124364
Provider Name: INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1367 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909
Phone: (770) 929-9033
Get Directions

INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC is an interventional pain medicine pain medicine in Augusta, 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. INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC NPI is 1598124364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1367 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909-626
Phone: (770) 929-9033

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 enumeration date for this NPI number is 2/22/2016 and was last updated on 5/16/2016.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17398400009MEDICARE NSCGEORGIA

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: 4/28/2024

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