Organization
GEORGIA INTERVENTIONAL PAIN - J, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT S PATEL MD (CEO)
(770) 962-3642
Entity
Organization
Contact information
Practice address
830 EAGLES LANDING PKWY STE 205, STOCKBRIDGE, GA 30281-7366
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 138, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
01/13/2023
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