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1154046019
GEORGIA INTERVENTIONAL PAIN - L, LLC
ATHENS, GA
NPI
1154046019
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Entity Type
Organization
Authorized Contact
AMIT S. PATEL
CEO
770-962-3642
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2022-10-04
Last Update Date
2023-01-13
Business Address
GEORGIA INTERVENTIONAL PAIN - L, LLC
658 N CHASE STREET STE 103
ATHENS, GA 30601
Phone number: 770-962-3642
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Mailing Address
GEORGIA INTERVENTIONAL PAIN - L, LLC
455 PHILIP BLVD STE 138
LAWRENCEVILLE, GA 30046-8768
Phone number: 770-962-3642
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