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Organization
HARBOR INTERVENTIONAL PAIN CENTER, LLC
Active
Organization
HARBOR INTERVENTIONAL PAIN CENTER, LLC
Active
Other names
Harbor Interventional Pain Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LESTER LACY MD (PRINCIPAL)
(413) 218-1201
Entity
Organization
Contact information
Practice address
4849 PAULSEN ST STE 312, SAVANNAH, GA 31405-4426
(413) 218-1201
Mailing address
102 S TRAIL WAY # B9, POOLER, GA 31322-9815
(413) 218-1201
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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