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Organization

GREATER ATLANTA PAIN AND SPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GALAL Y GARGODHI M.D (FOUNDER/CEO)
(678) 730-9202
Entity
Organization

Contact information

Practice address
3840 PEACHTREE INDUSTRIAL BLVD STE 225, DULUTH, GA 30096-5031
(678) 730-9202
(855) 592-2998
Mailing address
3840 PEACHTREE INDUSTRIAL BLVD STE 225, DULUTH, GA 30096-5031
(678) 730-9202
(885) 592-2998

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245594985
NPI
Enumeration date
09/14/2023
Last updated
01/26/2024
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