NPI 1003264532

Interventional Spine & Pain Management Center, PC

Organisation Interventional Pain Medicine Physician Canton, GA

Practice location

Address: 2205 Riverstone Blvd Suite 101, Canton, GA 30114-5227
Phone: (770) 929-9033
Fax: (770) 929-9092
Mailing address: 3390 Peachtree Rd NE Suite 1500, Atlanta, GA 30326-1157

Authorised official

Name: Victoria Beck
Title: Cfo
Phone: (404) 920-4950

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Georgia →

Registry record

NPI: 1003264532
Entity type: Organization
NPI issued: 25 May 2016
Record last updated: 25 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.