Organization
INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BECK (CFO)
(404) 920-4950
Entity
Organization
Contact information
Practice address
620 J L WHITE DR, SUITE 140, JASPER, GA 30143-4896
(770) 929-9033
(770) 929-9092
Mailing address
3390 PEACHTREE RD NE, SUITE 1500, ATLANTA, GA 30326-1157
(404) 920-4950
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
GA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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