Organization
CONSULTANTS IN PAIN MEDICINE, LLC
Active
Parent organization
CONSULTANTS IN PAIN MEDICINE, LLC
Other names
Centurion Spine & Pain Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSULTANTS IN PAIN MEDICINE, LLC
Authorized official
ALICIA GROTH (CREDENTIALING)
(904) 256-2754
Entity
Organization
Contact information
Practice address
195 E TOLLISON ST BLDG C, BAXLEY, GA 31513-0172
(912) 590-0973
(912) 590-0180
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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