GEORGIA INTERVENTIONAL PAIN - F, LLC


Address: 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725
Phone: 7709623642

GEORGIA INTERVENTIONAL PAIN - F, LLC (NPI# 1700424322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700424322
Entity Type Organization
Organization Name GEORGIA INTERVENTIONAL PAIN - F, LLC
Practice Address 1357 Hembree Rd Ste 230
Roswell
GA 30076-5725
Mailing Address 455 Philip Blvd Ste 138
Lawrenceville
GA 30046-8768
Practice Telephone 7709623642
Practice Fax Number 7709623643
Mailing Telephone 7709623642
Mailing Fax Number 7709623643
Enumeration Date 2019-12-13
Last Update Date 2020-03-11
Authorized Official Name AMIT PATEL (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7709623642
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 1357 HEMBREE RD STE 230
City ROSWELL
State GA
Zip Code 30076-5725

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1720085277 Roswell Surgery Center LLC Clinic/Center 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 2005-06-30

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Competitor

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City ROSWELL
Zip Code 30076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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