Organization
GEORGIA INTERVENTIONAL PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT SURYAKANT PATEL M.D. (MEDICAL DIRECTOR)
(757) 618-5889
Entity
Organization
Contact information
Practice address
455 PHILIP BLVD STE 138, LAWRENCEVILLE, GA 30046-8767
(770) 962-3642
(770) 962-3642
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3642
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
62929
GA
Other
Enumeration date
02/05/2014
Last updated
01/13/2023
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