# SPINE & PAIN ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164868162
- **Authorized official:** MR. USMAN AHMAD (BILLING MANAGER)
- **Authorized official phone:** (718) 705-4695

## Contact information

- **Practice address:** 1716 E HUNDRED RD, SUITE 102, CHESTER, VA 23836-3301
- **Practice address phone:** (804) 681-0177
- **Practice address fax:** (804) 681-0747
- **Mailing address:** 1716 E HUNDRED RD, SUITE 102, CHESTER, VA 23836-3301
- **Mailing address phone:** (804) 681-0177
- **Mailing address fax:** (804) 681-0747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | VA | Yes |

## Other

- **Enumeration date:** 05/16/2013
- **Last updated:** 05/16/2013