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Georgia Interventional Pain - D Llc
Ambulatory Surgical Clinic/Center in Decatur, Georgia
NPI 1043660442

Georgia Interventional Pain - D Llc is an Ambulatory Surgical Clinic/Center based in Lawrenceville, GA and is specialized in Ambulatory Surgical. Georgia Interventional Pain - D Llc practices in Decatur, GA. The NPI Number for Georgia Interventional Pain - D Llc is 1043660442 and holds a License No. (Georgia).

The current practice location address for Georgia Interventional Pain - D Llc is 484 Irvin Ct, Decatur, GA and can be reached out via phone at 770-962-3642 and via fax at 770-962-3643.

Location: 484 Irvin Ct, Decatur, GA, 30046-8767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043660442
Provider Name
Georgia Interventional Pain - D Llc
Credential
Provider Entity Type
Organization
Address
484 Irvin Ct, Decatur, GA, 30046-8767
Phone Number
770-962-3642
Fax Number
770-962-3643
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
484 Irvin Ct
City
Decatur
State
Georgia
Zip
30030-5406
Phone Number
770-962-3642
Fax Number
770-962-3643
person
Provider Business Mailing Address Details
Address
484 Irvin Ct
City
Decatur
State
Georgia
Zip
30030-5406
Phone Number
770-962-3642
Fax Number
770-962-3643
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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