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Organization

CENTER FOR SPINE & PAIN MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SULEMAN SOHANI (PRACTICE ADMINISTRATOR)
(706) 279-2635
Entity
Organization

Contact information

Practice address
1413 CHATTANOOGA AVE, DALTON, GA 30720-2631
(706) 279-2635
(706) 279-2679
Mailing address
1413 CHATTANOOGA AVE, DALTON, GA 30720-2631
(706) 279-2635
(706) 279-2679

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
291U00000X
Clinical Medical Laboratory

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB9567
RAILROAD MEDICARE
GA
01
GRP6374
MEDICARE GROUP #
GA
Enumeration date
07/12/2006
Last updated
05/15/2025
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