institution
Southeastern Interventional Pain Asc Llc
Ambulatory Surgical Clinic/Center in Atlanta, Georgia
NPI 1588994685

Southeastern Interventional Pain Asc Llc is an Ambulatory Surgical Clinic/Center based in Belfast, GA and is specialized in Ambulatory Surgical. Southeastern Interventional Pain Asc Llc practices in Atlanta, GA. The NPI Number for Southeastern Interventional Pain Asc Llc is 1588994685 and holds a License No. LNR-ASC2014-023 (Georgia).

The current practice location address for Southeastern Interventional Pain Asc Llc is 1150 Hammond Dr Ne, Atlanta, GA and can be reached out via phone at 678-971-4167 and via fax at 678-971-4168.

Location: 1150 Hammond Dr Ne, Atlanta, GA, 04915-1217
institution
Provider Profile Details
NPI Number
1588994685
Provider Name
Southeastern Interventional Pain Asc Llc
Credential
Provider Entity Type
Organization
Address
1150 Hammond Dr Ne, Atlanta, GA, 04915-1217
Phone Number
678-971-4167
Fax Number
678-971-4168
Provider Enumeration Date
01/12/2010
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202G498226 01 GA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1150 Hammond Dr Ne
City
State
Zip
30328
Phone Number
678-971-4167
Fax Number
678-971-4168
person
Provider Business Mailing Address Details
Address
1150 Hammond Dr Ne
City
State
Zip
30328
Phone Number
678-971-4167
Fax Number
678-971-4168
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
LNR-ASC2014-023 (Georgia)
Definition
Definition to come...
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