# SUPREME SPINE AND PAIN PHYSICIANS LLC

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

## Provider details

- **NPI number:** 1417661281
- **Authorized official:** DANQING HU MD, PHD (PHYSICIAN)
- **Authorized official phone:** (770) 810-5188

## Contact information

- **Practice address:** 335 PEACHTREE INDUSTRIAL BLVD STE 2206, SUWANEE, GA 30024-3721
- **Practice address phone:** (507) 319-2391
- **Mailing address:** 335 PEACHTREE INDUSTRIAL BLVD STE 2206, SUWANEE, GA 30024-3721
- **Mailing address phone:** (770) 810-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 03/30/2025