ACE PAIN AND SPINE LLC NPI 1811515554

NPI Information

NPI: 1811515554
Provider Name: ACE PAIN AND SPINE LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3625 BRASELTON HWY STE 201
DACULA, GA
ZIP 30019
Phone: (678) 404-2220
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ACE PAIN AND SPINE LLC is a pain clinic center in Dacula, GA. ACE PAIN AND SPINE LLC NPI is 1811515554. The provider is registered as an organization entity type.

The provider's business location address is:

3625 BRASELTON HWY STE 201
DACULA, GA
ZIP 30019-695
Phone: (678) 404-2220

The provider's authorized official is Cory Mansour .
The authorized official title is Physician / Owner and has the following contact phone number (678) 889-2326.

The enumeration date for this NPI number is 7/9/2020 and was last updated on 7/20/2021.

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
1	261QP3300X	Clinic/Center	Pain			Yes

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

NPI Synchronization or Removal

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