Organization
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Active
Parent organization
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Authorized official
ANKUR BHARAT PATEL MD (CEO / MANAGING PARTNER)
(678) 971-4167
Entity
Organization
Contact information
Practice address
1101 OLD PHILADELPHIA RD STE G100, JASPER, GA 30143-4044
(678) 971-4167
(833) 989-2501
Mailing address
1101 OLD PHILADELPHIA RD STE G100, JASPER, GA 30143-4044
(678) 971-4167
(833) 989-2501
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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