NPI 1336744770
Southern Pain and Spine Associates LLC
Practice location
- Address
- 601 Broad St SE STE B, Gainesville, GA 30501-3718
- Phone
- (678) 971-4167
- Fax
- (833) 989-2501
- Mailing address
- 1233 Highway 54 W STE 200, Fayetteville, GA 30214-4542
Authorised official
- Name
- Ankur Bharat Patel
- Title
- Ceo/ Owner Partner
- Phone
- (678) 971-4167
Registered specialties (4)
Interventional Pain Medicine Physician
Primary
Anesthesiology Physician
Clinic/Center
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1336744770
- Entity type
- Organization
- NPI issued
- 3 Dec 2020
- Record last updated
- 20 Feb 2026
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.