Organization
GEORGIA INTERVENTIONAL PAIN - C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT PATEL (MEDICAL DIRECTOR)
(770) 962-3642
Entity
Organization
Contact information
Practice address
1200 BALD RIDGE MARINA RD, SUITE 160, CUMMING, GA 30041-8526
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD, SUITE 140, LAWRENCEVILLE, GA 30046-8767
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
01/13/2023
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