Organization
GEORGIA PAIN AND SPINE SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS Q POLK MD (PRESIDENT/CEO)
(404) 403-4567
Entity
Organization
Contact information
Practice address
76 HIGHLAND PAVILION COURT, #133, HIRAM, GA 30141-3170
(800) 533-8210
(404) 745-8013
Mailing address
P.O. BOX 370160, DECATUR, GA 30037-0160
(404) 403-4567
(404) 920-8185
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
040758
GA
Other
Enumeration date
05/02/2018
Last updated
04/28/2020
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