Organization
CONSULTANTS IN PAIN MEDICINE, LLC
Active
Other names
Centurion Spine & Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA GROTH (AO) (CREDENTIALING)
(904) 223-3321
Entity
Organization
Contact information
Practice address
3408 TROUT ST, BRUNSWICK, GA 31520-3622
(912) 466-9111
(912) 466-0366
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 256-2754
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
041205
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
041205
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
041205
GA
Other
Enumeration date
05/26/2006
Last updated
06/27/2023
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