Organization
CENTER FOR SPINE INTERVENTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE RAYA (OFFICE MANAGER)
(678) 813-2741
Entity
Organization
Contact information
Practice address
2713 CHARLES HARDY PKWY STE 222, DALLAS, GA 30157-9470
(678) 813-2741
(678) 813-2740
Mailing address
2713 CHARLES HARDY PKWY STE 212, DALLAS, GA 30157-9445
(678) 813-2741
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/07/2019
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