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Organization
HANOWELL SPINE CLINIC LLC
Active
Organization
HANOWELL SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE WOODLEY (OFFICE MANAGER)
(770) 787-3550
Entity
Organization
Contact information
Practice address
4142 MILL ST NE, COVINGTON, GA 30014-2540
(770) 225-0098
(770) 787-2304
Mailing address
4142 MILL ST NE, COVINGTON, GA 30014-2540
(770) 787-3550
(770) 787-2304
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
12/04/2015
Last updated
08/15/2025
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