Organization
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BECK (CFO)
(404) 920-4950
Entity
Organization
Contact information
Practice address
1295 HEMBREE RD STE 105, ROSWELL, GA 30076-5721
(770) 929-9033
Mailing address
3390 PEACHTREE RD NE, SUITE 1500, ATLANTA, GA 30326-1157
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
09/05/2023
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