Organization
INTERVENTIONAL SPINE AND PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J FOWLER M.D. (MEDICAL DIRECTOR)
(770) 929-9033
Entity
Organization
Contact information
Practice address
5303 ADAMS ST., SUITE C, COVINGTON, GA 30014
(678) 729-8590
(678) 729-8595
Mailing address
5303 ADAMS ST., SUITE C, COVINGTON, GA 30014
(678) 729-8590
(678) 729-8595
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
01/02/2014
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