# AUGUSTA SPINE AND PAIN SPECIALISTS PC

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

## Provider details

- **NPI number:** 1356021067
- **Authorized official:** INDERPAL SINGH (MEDICAL DIRECTOR)
- **Authorized official phone:** (312) 402-1942

## Contact information

- **Practice address:** 5180 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
- **Practice address phone:** (312) 402-1942
- **Mailing address:** 5180 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
- **Mailing address phone:** (706) 530-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 02/03/2025