Organization
COMPREHENSIVE SPINE & PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINAYA K. PUPPALA (MD/OWNER)
(770) 627-7246
Entity
Organization
Contact information
Practice address
403 PERMIAN WAY STE D, VILLA RICA, GA 30180-3226
(770) 627-7246
(855) 332-9452
Mailing address
PO BOX 20476, BELFAST, ME 04915-4099
(770) 627-7246
(855) 332-9452
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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