Organization
SOUTHERN PAIN AND SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR BHARAT PATEL MD (CEO/ OWNER PARTNER)
(678) 971-4167
Entity
Organization
Contact information
Practice address
601 BROAD ST SE STE B, GAINESVILLE, GA 30501-3718
(678) 971-4167
(833) 989-2501
Mailing address
1233 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4542
(678) 971-4167
(883) 428-2629
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/03/2020
Last updated
02/20/2026
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