Organization
PAIN & SPINE PHYSICIANS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA MINICOZZI (PRACTICE MANAGER)
(770) 391-3979
Entity
Organization
Contact information
Practice address
3333 OLD MILTON PKWY STE 430, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Mailing address
3333 OLD MILTON PKWY STE 430, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
06/16/2018
Last updated
06/11/2019
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