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Organization

INTERVENTIONAL PAIN INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIE MICHAEL FUSSELL (PHYSICIAN/OWNER)
(229) 405-2470
Entity
Organization

Contact information

Practice address
3200 GILLIONVILLE RD STE 100, ALBANY, GA 31721-2815
(229) 405-2470
(229) 405-2473
Mailing address
2800 OLD DAWSON ROAD, SUITE 2, BOX 245, ALBANY, GA 31707
(229) 405-2470
(229) 405-2473

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
10/02/2019
Last updated
12/20/2022
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