Organization
CAMP CREEK LLC
Active
Parent organization
INTERVENTIONAL SPINE AND PAIN MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL SPINE AND PAIN MANAGEMENT
Authorized official
MR. STEPHEN ROSENBAUM (CFO)
(404) 920-4951
Entity
Organization
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, STE 400, ATLANTA, GA 30331-5589
(404) 344-6575
Mailing address
1388A WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 929-9033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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