Organization
REGENERATIVE SPINE AND PAIN SPECIALISTS
Active
Parent organization
REGENERATIVE SPINE AND PAIN SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENERATIVE SPINE AND PAIN SPECIALISTS
Authorized official
ZWADE MARSHALL MD (OWNER)
(404) 618-0995
Entity
Organization
Contact information
Practice address
874 LANIER AVE W STE 250, FAYETTEVILLE, GA 30214-7662
(404) 618-0995
Mailing address
874 LANIER AVE W STE 250, FAYETTEVILLE, GA 30214-7662
(404) 618-0995
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
08/22/2024
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