Pca Interventional Spine At Fayette, Llc

LBN: Pca Interventional Spine At Fayette, Llc
Pca Interventional Spine At Fayette, Llc is an health care organization with primary practice located at 1233 Highway 54 W Suite 205, Fayetteville GA 30214-4542. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Pain is the primary health care specialty. Pca Interventional Spine At Fayette, Llc can be contacted via phone (404) 351-7654, or through Duralde, Rodrigo via phone (404) 351-7654.

Contact Information

Primary practice address
1233 Highway 54 W Suite 205 Fayetteville GA 30214-4542
Phone: (404) 351-7654
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duralde, Rodrigo Doctor of Medicine (MD)
Phone: (404) 351-7654

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X IN PROCESS Georgia
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1447791074
LBN Legal business name Pca Interventional Spine At Fayette, Llc
DBA Doing business as
Authorized official Duralde, Rodrigo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2017
Last updated Jun 11th, 2020 - about 4 years 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.

Request for update

Popular Providers