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Organization

LASER SPINE & PAIN CENTERS LLC

Active
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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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