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Organization

PAIN ASSOCIATES OF SOUTH GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J LUPI DO (OWNER)
(912) 267-9000
Entity
Organization

Contact information

Practice address
3408 TROUT STREET, BRUNSWICK, GA 31520-3622
(912) 267-9000
(912) 267-9028
Mailing address
3408 TROUT STREET, BRUNSWICK, GA 31520-3622
(912) 267-9000
(912) 267-9028

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
038152
GA
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
09/14/2006
Last updated
04/06/2010
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