# INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1700490091
- **Authorized official:** DR. DAVID BAKER DO (OWNER)
- **Authorized official phone:** (248) 766-9257

## Contact information

- **Practice address:** 3630 WHEELER RD, AUGUSTA, GA 30909-6561
- **Practice address phone:** (706) 922-0419
- **Practice address fax:** (706) 364-0036
- **Mailing address:** 3630 WHEELER RD, AUGUSTA, GA 30909-6561
- **Mailing address phone:** (706) 922-0419
- **Mailing address fax:** (706) 364-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 09/08/2020