Organization
LASER SPINE & PAIN CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V.K. PUPPALA MD (OWNER)
(770) 627-7246
Entity
Organization
Contact information
Practice address
403 PERMIAN WAY STE C, VILLA RICA, GA 30180-3252
(770) 627-7246
Mailing address
403 PERMIAN WAY STE C, VILLA RICA, GA 30180-3252
(770) 627-7246
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
08/08/2025
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