Southern Pain & Diagnostics Institute
LBN: Southern Pain Institute, Pc
Southern Pain & Diagnostics Institute is an health care organization with primary practice located at 1975 Highway 54 W Suite 100, Peachtree City GA 30269-4794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty.
Southern Pain Institute, Pc can be contacted via phone (770) 632-3730, or through Clavo, Anthony Thaddeus via phone (770) 632-3730.
Contact Information
Primary practice address
1975 Highway 54 W Suite 100
Peachtree City GA 30269-4794
Phone: (770) 632-3730
Fax: (770) 632-3731
Website:
Authorized official contact:
Name: Clavo, Anthony Thaddeus Doctor of Medicine (MD)
Phone: (770) 632-3730
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 045425 | Georgia |
Profile Details
NPI number | 1336232958 |
---|---|
LBN Legal business name | Southern Pain Institute, Pc |
DBA Doing business as | Southern Pain & Diagnostics Institute |
Authorized official | Clavo, Anthony Thaddeus Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jul 27th, 2015 - about 9 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.
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