NPI 1134769714

Georgia Spine & Pain Centers

Organisation Interventional Pain Medicine Physician Waycross, GA

Practice location

Address: 1507 Alice St, Waycross, GA 31501-4530
Phone: (912) 590-0973
Fax: (912) 590-0180
Mailing address: 5191 First Coast Tech Pkwy 3rd Floor, Jacksonville, FL 32224-0609

Authorised official

Name: Alicia M Groth
Title: Credentialing Specialist
Phone: (904) 223-3321

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Georgia →

Registry record

NPI: 1134769714
Entity type: Organization
NPI issued: 10 Jan 2020
Record last updated: 2 Sep 2025

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.