Organization
GEORGIA SPINE & PAIN CENTERS
Active
Other names
Georgia Spine & Pain Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA M GROTH (CREDENTIALING SPECIALIST)
(904) 223-3321
Entity
Organization
Contact information
Practice address
1507 ALICE ST, WAYCROSS, GA 31501-4530
(912) 590-0973
(912) 590-0180
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
09/02/2025
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