TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC NPI 1609143502

NPI Information

  • NPI: 1609143502
  • Provider Name: TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: TDI PAIN
  • CLIA Number: 11D2161394
  • Address: 1075 LAFAYETTE PKWY
    STE 100
    LAGRANGE, GA
    ZIP 30241
  • Phone: (706) 443-5273

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NPI Details

TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC is an interventional pain medicine pain medicine in Lagrange, 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. TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN PC NPI is 1609143502. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tdi Pain.

The provider's business location address is:

1075 LAFAYETTE PKWY
STE 100
LAGRANGE, GA
ZIP 30241-584
Phone: (706) 443-5273
Fax: (706) 443-5275

The provider's authorized official is Davin Gerrard Mitchell .
The authorized official title is Physician and has the following contact phone number (706) 845-9370.

The CLIA number assigned to this NPI record is 11D2161394 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/20/2011 and was last updated on 1/11/2019.

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
1208VP0014XPain MedicineInterventional Pain Medicine63786GEORGIAYes

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

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