Organization
AVIATOR PAIN & SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARI PRABHAKAR MD (CMO)
(706) 222-4559
Entity
Organization
Contact information
Practice address
304 INSPERON DR, GROVETOWN, GA 30813-0605
(214) 717-0806
Mailing address
13748 CINNABAR PL, HUNTERSVILLE, NC 28078-5342
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
03/06/2024
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