Organization
GEORGIA INTERVENTIONAL PAIN - S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT S PATEL MD (CEO)
(770) 962-3642
Entity
Organization
Contact information
Practice address
3825 MEDICAL PARK DR STE 302, AUSTELL, GA 30106-6831
(770) 962-3642
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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