Advanced Spine & Pain Interventions
LBN: Advanced Spine & Pain Interventions, Llc
Advanced Spine & Pain Interventions is an health care organization with primary practice located at 12389 Crabapple Rd , Alpharetta GA 30004-6328. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Advanced Spine & Pain Interventions, Llc can be contacted via phone (470) 299-1998, or through Mardy-Davis, Woodley B. via phone (470) 299-1998.
Contact Information
Primary practice address
12389 Crabapple Rd
Alpharetta GA 30004-6328
Phone: (470) 299-1998
Fax: (470) 299-1898
Website:
Authorized official contact:
Name: Mardy-Davis, Woodley B. Doctor of Medicine (MD)
Phone: (470) 299-1998
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 059463 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 059463 | Georgia |
Profile Details
| NPI number | 1184021180 |
|---|---|
| LBN Legal business name | Advanced Spine & Pain Interventions, Llc |
| DBA Doing business as | Advanced Spine & Pain Interventions |
| Authorized official | Mardy-Davis, Woodley B. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Apr 23rd, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184021180 | NPPES |
| Other | 2152738 | PK |
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