Organization

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)

Code

174400000X

Primary Taxonomy

Yes

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

Provider Address

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