Organization
SOUTHERN PAIN AND SPINE ASSOCIATES LLC
Active
Parent organization
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Other names
Southern Pain and Spine - Jasper
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Authorized official
HAMISH PATEL (COO)
(470) 628-9203
Entity
Organization
Contact information
Practice address
1101 OLD PHILADELPHIA RD STE G100, JASPER, GA 30143-4044
(678) 971-4167
(833) 989-2501
Mailing address
PO BOX 28415, BELFAST, ME 04915-2036
(888) 488-8289
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72139
GCMB
GA
Enumeration date
02/07/2022
Last updated
05/25/2022
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