Pain And Spine Solutions, Llc
Specialist in Lithonia, GA(View on Map)
Legal Business Name
Pain And Spine Solutions, Llc
NPI Number
1073850988
NPI Type
Organization
Enumeration Date
01/11/2013
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
040758
Contact
Information
Purpose
Mailing
Location
Address
3974 GLEN PARK DRIVE
3974 GLEN PARK DRIVE
City
Lithonia
Lithonia
State
GA
GA
Postal Code
30038
30038
Country
US
US
Telephone Number
(404) 403-4567
(404) 403-4567
Authorized Official
Name
Dr. Marcus Polk
Title or Position
ANESTHESIOLOGIST
Telephone Number
(404) 403-4567
Identifiers
Identifier
000820036S
Identifier State
GA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/11/2013